DOI QR코드

DOI QR Code

A case report of gastrointestinal perforation in patient after biliary stent insertion and the overview of gastrointestinal perforation

담도 스텐트 시술 후 장천공 증례보고 및 장천공에 대한 고찰

  • Ga-Young Lee (Dept. of Hepatology & hematology, College of Korean medicine, Daejeon University) ;
  • Chan-Ran Park (Dept. of Hepatology & hematology, College of Korean medicine, Daejeon University) ;
  • Jung-hyo Cho (Dept. of Hepatology & hematology, College of Korean medicine, Daejeon University) ;
  • Chang-gue Son (Dept. of Hepatology & hematology, College of Korean medicine, Daejeon University) ;
  • Nam-hun Lee (Dept. of Hepatology & hematology, College of Korean medicine, Daejeon University)
  • 이가영 (대전대학교 한의과대학 간계내과학교실) ;
  • 박찬란 (대전대학교 한의과대학 간계내과학교실) ;
  • 조정효 (대전대학교 한의과대학 간계내과학교실) ;
  • 손창규 (대전대학교 한의과대학 간계내과학교실) ;
  • 이남헌 (대전대학교 한의과대학 간계내과학교실)
  • Received : 2022.05.25
  • Accepted : 2022.08.16
  • Published : 2022.09.01

Abstract

Objectives: This study aimed to emphasize the importance of accurate and timely diagnosis of acute abdominal pain with simple radiography by reporting a case of gastrointestinal perforation. Methods: We closely observed the diagnosis and progress of acute abdominal pain after biliary stent and reviewed the outline of gastrointestinal perforation. Results: Patient diagnosed with urethral cancer metastasis to lung and peritoneum was treated with complex Korean medicinal treatments to deal with anorexia, abdominal pain, jaundice and oliguria. During hospitalization, the patient's acute abdominal pain after biliary stent was diagnosed with gastrointestinal perforation by using plain chest and abdominal radiography. Conclusion: Using simple radiography to find out the emergency diseases such as perforation in acute abdominal pain is important clinically.

Keywords

Acknowledgement

이 연구는 대한민국 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2020R1F1A1069711).

References

  1. Brewer, B.J., Golden, G.T., Hitch, D.C., Rudolf, S,L,. Abdominal pain. (1976). An analysis of 1,000 consecutive cases in a University Hospital emergency room. Am J Surg, 131, 219-23. doi: 10.1016/0002-9610(76)90101-x.
  2. Powers, R.D., Guertler, A.T. (1995). Abdominal pain in the ED: stability and change over 20 years. Am J Emerg Med, 13, 301-3. doi:10.1016/0735-6757(95)90204-X.
  3. Jong, W.C., Joo, Y.S., Hong, K., Chang, S.R., Sung, M.L., Yang, G.J. et al. (1997). The Value of CT in Detecting Pathologic Bowel Perforation. J Korean Radiol Soc, 37, 697-702. https://doi.org/10.3348/jkrs.1997.37.4.697
  4. Kwack, H.J., Kim, K.M., Kim, M.H., Jin, G.Y., Chung, M.J. (2011). Pneumatosis intestinalis and Intestinal perforation related to Rapid Response during Sunitinib Therapy for Gastrointestinal stromal tumor. The Chonbuk Univ Med J, 35(1), 39-43.
  5. Oh, J.H., Lee, I.S. (2007). Image of The Month: Enterovesical Fistula and Intestinal Perforation Complicated by Crohn's Disease. The Korean J Gastroenterol, 49(4), 199-200.
  6. Choi, W.Y., Choi, J.Y., Lee, J.H., Seo, C.J., Park, K.W., Park, S.H. et al. (2007). Remission of Refractory Intestinal Behcet's Disease with Infliximab. J Rheum Dis, 14(1), 61-5.
  7. Kim, M.H., Lee, S.S., Park, D.H., Lee, S.K., Kim, H.J., Seo, D.W. et al. (2011). Case Report: Three Cases of Successful Treatment of Iatrogenic Duodenal Perforation. The Korean J Gastrointestinal Endoscopy, 42(1), 57-61.
  8. Tanner, T.N., Hall, B.R., Oran, J. (2018). Pneumoperitoneum. Surg. Clin. North Am, 98(5), 915-32. doi: 10.1016/j.suc.2018.06.004.
  9. Mayumi, T., Yoshida, M., Tazuma, S., Furukawa, A., Nishii, O., Shigematsu, K., et al. (2016). The Practice Guidelines for Primary Care of Acute Abdomen 2015. Jpn J Radiol, 34(1), 80-115. doi: 10.1007/s11604-015-0489-z. PMID:26678269.
  10. Stapfer, M., Selby, R.R., Stain, S.C. (2000). Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg, 232:191-8. doi:10.1097/00000658-200008000-00007
  11. Enns, R., Eloubeidi, M.A., Mergener, K., Jowell, P.S., Branch, M.S., Pappas, T.M. et al. (2002). ERCP-related perforations: risk factors and management. Endoscopy,34, 293-8. doi:10.1055/s-2002-23650.
  12. Kumar, A., Muir, M.T., Cohn, S.M., Salhanick, M.A., Lankford, D.B., Katabathina, V.S. (2012). The etiology of pneumoperitoneum in the 21st century. J Trauma Acute Care Surg, 73, 542-8. doi: 10.1097/TA.0b013e31825c157f.
  13. Levine, M.S., Scheiner, J.D., Rubesin, S.E., Laufer, I., Herlinger, H. (1991). Diagnosis of pneumoperitoneum on supine abdominal radiographs. AJR Am J Roentgenol, 156, 731-5. doi: 10.2214/ajr.156.4.2003436.
  14. Stapakis, J.C., Thickman, D. (1992). Diagnosis of pneumoperitoneum: abdominal CT vs. upright chest film. J Comput Assist Tomogr. 16(5), 713-6. https://doi.org/10.1097/00004728-199209000-00008
  15. Park, J.M., Yoon, Y.H., Horeczko, T., Kaji, A.H., Lewis, R.J. (2017). Changes of Clinical Practice in Gastrointestinal Perforation with the Increasing Use of Computed Tomography. J Korean Soc Traumatol, 30(2), 25-32. doi:10.20408/jti.2017.30.2.25.
  16. Damore, L.J., Rantis, P.C., Vernava, A.M., Longo, W.E. (1996). Colonoscopic perforations. Etiology, diagnosis, and management. Dis Colon Rectum, 39(11), 1308-14. doi: 10.1007/BF02055129.
  17. Cai, S.L., Chen, T., Yao, L.Q., Zhong, Y.S. (2015). Management of iatrogenic colorectal perforation: From surgery to endoscopy. World J Gastrointest Endosc, 7(8), 819-23. doi: 10.4253/wjge.v7.i8.819
  18. Park, J.W., Yoon, J., Cho, C.K., Lee, Y.W., Yoo, H.S. (2014). Survival analysis of stage IV metastatic gastric cancer patients treated with HangAm-Plus. Chin J Integr Med, 20(1):49- 55. doi: 10.1007/s11655-012-1084-0.
  19. Khan, N., Afaq, F., Syed, D.N., Mukhtar, H. (2008). Fisetin, a novel dietary flavonoid, causes apoptosis and cell cycle arrest in human prostate cancer LNCaP cells. Carcinogenesis 29(5):1049-56. doi: 10.1093/carcin/bgn078
  20. Suh, Y., Afaq, F., Johnson, J.J., Mukhtar, H. (2009). A plant flavonoid fisetin induces apoptosis in colon cancer cells by inhibition of COX2 and Wnt/EGFR/NF-kappaB-signaling pathways. Carcinogenesis 30(2):300-7. doi:10.1093/carcin/bgn269.
  21. Yim, M.H., Shin, J.W., Son, J.Y., Oh, S.M., Han, S.H., Cho, J.H., et al. (2007). Soluble components of Hericium erinaceum induce NK cell activation via production of interleukin-12 in mice splenocytes. Acta Pharmacol Sin 28(6):901-907, 2007. doi: 10.1111/j.1745-7254.2007.00577.x.
  22. Lee, G.Y., Park, C.R., Cho, J.H., Son, C.G., Lee, N.H. (2020). The Effect of Chunggan Plus Extract in Improving Liver Function: A Retrospective Case Series of Eight Patients. J Int Korean Med. 41(3):542-51 http://dx.doi.org/10.22246/jikm.
  23. Srinivasan, I., Kahaleh, M. (2011). Biliary stents in the millennium. Adv Ther, 28(11), 960-72. doi: 0.1007/s12325-011-0067-4 https://doi.org/10.1007/s12325-011-0067-4
  24. Mady, R.F., Niaz, O.S., Assal, M.M. (2015). Migrated biliary stent causing perforation of sigmoid colon and pelvic abscess. BMJ Case Rep, 2015, bcr2014206805. doi: 10.1136/bcr-2014-206805
  25. Eisenberg, R.L., Heineken, P., Hedgcock, M.W., Federle, M., Goldberg, H.I. (1983). Evaluation of plain abdominal radiographs in the diagnosis of abdominal pain. Ann Surg, 197(4), 464-9. doi: 10.1097/00000658-198304000-00016.