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[Pneumothorax Following Gastric Endoscopic Mucosal Resection]
Myeongseok Koh1, Jin Seok Jang1, Jae Hwang Cha1
1Division of Gastroenterology, Department of Internal Medicine, Dong-A University Hospital, Busan, Korea.
Summary
Endoscopic mucosal resection (EMR) for early gastric lesions can rarely cause pneumothorax, a collapsed lung, without abdominal air. This case highlights a unique complication of gastric EMR, successfully managed with conservative endoscopic clipping.
Area of Science:
- Gastroenterology
- Pulmonology
- Endoscopic Surgery
Background:
- Endoscopic mucosal resection (EMR) is a standard treatment for early gastric neoplastic lesions.
- Perforation is a known, though uncommon, complication of gastric EMR, typically presenting as pneumoperitoneum.
Observation:
- This report details a rare case of gastric EMR complication.
- The patient developed a left-side pneumothorax following EMR of a gastric fundus lesion.
- Notably, the pneumothorax occurred without any accompanying pneumoperitoneum.
Findings:
- A spontaneous left-side pneumothorax was diagnosed post-gastric EMR.
- The absence of pneumoperitoneum makes this a distinct presentation.
- Conservative management with endoscopic clipping proved effective.
Implications:
- This case expands the spectrum of known complications associated with gastric EMR.
- It underscores the importance of recognizing pneumothorax as a potential, albeit unusual, sequela.
- Conservative endoscopic management, including clipping, can be a viable treatment option for this specific complication.
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