A case report of gastrointestinal perforation in patient after biliary stent insertion and the overview of gastrointestinal perforation

Article information

J Korean Med. 2022;43(3):195-203

Publication date (electronic) : 2022 September 1

doi : https://doi.org/10.13048/jkm.22040

Ga-Young Lee ¹

, Chan-Ran Park ¹

, Jung-hyo Cho ¹^,³

, Chang-gue Son ¹^,³

, Nam-hun Lee ¹^,²^,³^,

¹Dept. of Hepatology & hematology, College of Korean medicine, Daejeon University

²East-West Cancer Center, Cheonan Korean Medicine Hospital, Daejeon University

³Liver and Immunology Research Center, Daejeon Korean Medicine Hospital of Daejeon University

Correspondence to: Nam-hun Lee, Dongseo Cancer Center, Cheonan Oriental Medicine Hospital, Daejeon University, Notaesan-ro 4-gil, Seobuk-gu, Cheonan-si, Tel:+82-41-521-7536, Fax:+82-41-521-7007, E-mail: nhlee@dju.kr

Received 2022 May 25; Revised 2022 July 26; Accepted 2022 August 16.

Abstract

Objectives

This study aimed to emphasize the importance of accurate and timely diagnosis of acute abdominal pain with simple radiography by reporting a case of gastrointestinal perforation.

Methods

We closely observed the diagnosis and progress of acute abdominal pain after biliary stent and reviewed the outline of gastrointestinal perforation.

Results

Patient diagnosed with urethral cancer metastasis to lung and peritoneum was treated with complex Korean medicinal treatments to deal with anorexia, abdominal pain, jaundice and oliguria. During hospitalization, the patient’s acute abdominal pain after biliary stent was diagnosed with gastrointestinal perforation by using plain chest and abdominal radiography.

Conclusion

Using simple radiography to find out the emergency diseases such as perforation in acute abdominal pain is important clinically.

Keywords: Gastrontestinal perforation; acute abdominal pain; penumoperitoneum

Fig. 1

Computed Tomography(CT) at diagnosis (2019.02.21.) A: Abdomen CT, B: Chest CT

Fig. 2

Summary of treatment course.

Fig. 3

Changes of LFT and bilirubin after PTBD

Fig. 4

Changes of vital sign and patient’s progress

Fig. 5

Simple X-rays when diagnosed with perforation (2019.03.29)

A: Chest X-ray B: Abdomen S/E

Table 1

Biochemical data of the patient

Table 2

Changes of vital sign during administration period

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