Villamil MR, Betancourt BD, Pérez DA, Delgado MFJ

Language: Spanish
References: 0
Page: 299-305
PDF size: 208.26 Kb.

ABSTRACT

Introduction: duodenal perforations are considered extremely serious lesions at any age. Its etiology may be due to trauma, or after performing a digestive endoscopic procedure. Due to the high morbidity and mortality of these injuries, surgical treatment has been the method of choice for years in most cases. More recently, nonsurgical treatment has been reported successfully in selected patients.
Case presentation: it is presented a case of successful non-surgical treatment in a 13-year-old adolescent with intra-peritoneal duodenal perforation after endoscopic retrograde cholangiopancreatography. Therapeutic measures in this case were: the suspension of the oral route, the use of total parenteral nutrition, the administration of the somatostatin analog and systemic antibiotics.
Conclusions: intra-peritoneal duodenal perforation after endoscopic retrograde cholangiopancreatography in children can be diagnosed early. Medical treatment based on strict observation of the patient, total parenteral nutrition, suspension of oral feeding, nasogastric octeotride aspiration; and administration of systemic antibiotics is effective in selected patients.