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Case Reports in Medicine
Volume 2012 (2012), Article ID 609750, 3 pages
http://dx.doi.org/10.1155/2012/609750
Case Report

Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case Report

Department of Gastroenterology, Drexel University College of Medicine, Philadelphia, PA 19107, USA

Received 9 September 2011; Revised 5 November 2011; Accepted 23 November 2011

Academic Editor: William B. Silverman

Copyright © 2012 Missale Solomon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Perforation is one of the major complications encountered during endoscopic procedures. The standard of care for these complications is either surgical intervention or nonoperative medical approach with antibiotics and bowel rest with or without parenteral alimentation. Metallic clips, initially developed to secure hemostasis in bleeding, have been successfully used to close perforations in the gastrointestinal tract (GI) including the duodenum. This avoids perioperative morbidities associated with surgical intervention while limiting the leakage of intestinal contents and peritoneal contamination that is possible with medical management. We present a case of a patient with a lateral duodenal perforation during an endoscopic retrograde cholangiopancreatography (ERCP) which was successfully treated with immediate placement of metallic endoclips.