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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Updated: Feb 19, 2026

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Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy.

Kong Jing1, Wu Shuo-Dong1

  • 1Department of the First Minimal Invasive Surgery and Bile Duct Surgery, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning 110004, China.

Case Reports in Medicine
|May 3, 2014
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Duodenum injury is a rare but serious complication of laparoscopic cholecystectomy. Prompt recognition and treatment, including percutaneous drainage, are crucial for successful outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Duodenum injury is an exceptionally rare complication following laparoscopic cholecystectomy.
  • This complication carries potentially fatal consequences if not managed promptly.

Purpose of the Study:

  • To describe the diagnosis and management of a rare duodenum injury post-laparoscopic cholecystectomy.
  • To review existing literature on this surgical complication.

Main Methods:

  • A case report of a patient who developed duodenum injury after laparoscopic cholecystectomy.
  • Review of 3000 laparoscopic cholecystectomies performed over 13 years.
  • Treatment involved percutaneous needle aspiration and catheter drainage.

Main Results:

  • A single case of duodenum injury was identified in a patient with a history of gastrectomy for duodenal diverticulum.
  • The injury was successfully treated with percutaneous needle aspiration and catheter drainage.
  • The patient experienced a 26-day hospital stay with no recurrence of abscess.

Conclusions:

  • Duodenum injuries are rare but life-threatening complications of laparoscopic cholecystectomy.
  • Sonographically guided percutaneous drainage is an effective treatment for resulting intraperitoneal abscesses.
  • Surgical interventions like Billroth II subtotal gastrectomy and gastrojejunostomy can be beneficial.