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Intraperitoneal Abscess as a Postoperative Complication of Gastric Endoscopic Submucosal Dissection
Kazuya Miyaguchi1,2, Tomoaki Tashima1, Kei Sugimoto1
1Department of Gastroenterology, Saitama Medical University International Medical Center, Japan.
Abstract:
We herein report a case of intraperitoneal abscess as a postoperative complication of gastric endoscopic submucosal dissection (ESD). A 70-year-old man who underwent ESD for early gastric cancer sought consultation for abdominal pain on postoperative day 28. Abdominal computed tomography revealed intraperitoneal abscess rupture. He underwent image-guided laparoscopic irrigation. His postoperative course was favorable, and he was discharged after 27 days. Intraoperatively, a white plaque adhering to the gastric wall was surrounded by a large pus volume and suspected to be ESD-associated. We present this case with a literature review of the association between intraperitoneal abscess and ESD.
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