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A case report of blunt gastric perforation treated with endoscopic clip closure
Ke Li1, Xuelian Sun, Guoxing Wang
1Department of Emergency Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, China.
Rationale:
Gastroscopymay not only allow identification of gastric injury, but may also facilitate prompt repair.
Patient Concerns:
A 39-year-old male patient was admitted 3 hours after abdominal injury caused by penetration of a screwdriver. Physical examination and computed tomography showed no evidence of gastric injury. However, 3000 mL fresh blood was vomited during the subsequent observation period.
Diagnoses:
Gastroscopy identified a ruptured artery and gastric perforation.
Interventions:
Repaired immediately using titanium clips.
Outcomes:
After operation, the patient recovered well without complications. No more bleeding was observed after the operation.
Lesson Subsections Asper Style:
Interventional endoscopy has evolved as an effective alternative to primary surgery for treating gastrointestinal perforation.
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