title: [A case of successful endoscopic clipping for iatrogenic colon perforation induced by peritoneal catheter insertion].
abstract: Advanced cancer patients with refractory ascites often do not respond to conventional treatments including dietary sodium restriction, diuretics, and repeated large volume paracentesis. In these patients, continuous peritoneal drainage by an indwelling catheter may be an effective option for managing refractory ascites with a relative low complication rate. Peritoneal catheter-induced complications include hypotension, hematoma, leakage, cellulitis, peritonitis, and bowel perforation. Although bowel perforation is a very rare complication, it can become disastrous and necessitates emergency surgical treatment. Herein, we report a case of a 57-year-old male with refractory ascites due to advanced liver cancer who experienced iatrogenic colonic perforation after peritoneal drainage catheter insertion and was treated successfully with endoscopic clipping.
authors: Institute of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemungu, Seoul 120-749, Korea.
authors: Kyu Yeon
authors: KY
authors: Hahn
authors: Hyun Ju
authors: HJ
authors: Kim
authors: Hye Jung
authors: HJ
authors: Park
authors: Sun Wook
authors: SW
authors: Kim
authors: Soo Yun
authors: SY
authors: Chang
authors: Beom Kyung
authors: BK
authors: Kim
authors: Kwang Hyub
authors: KH
authors: Han
authors: Sung Pil
authors: SP
authors: Hong
mesh_terms: D002408:Catheters, Indwelling; D003106:Colon / Q000293:injuries*; D003113:Colonoscopy; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D019300:Medical Errors; D008875:Middle Aged; D019152:Paracentesis / Q000009:adverse effects*; D010537:Peritoneum; D012421:Rupture; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed