ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC TREATMENT OF DELAYED DIAGNOSED STAPFER II TYPE DUODENAL PERFORATION AND RETROPERITONEAL ABSCESS USING BILIARY DOUBLE PIG-TAIL CATHETER

ENDOSCOPIC TREATMENT OF DELAYED DIAGNOSED STAPFER II TYPE DUODENAL PERFORATION AND RETROPERITONEAL ABSCESS USING BILIARY DOUBLE PIG-TAIL CATHETER

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Video Transcription

Video Summary

This case details the endoscopic treatment of a 26-year-old female with late-diagnosed Staphylococcal duodenal perforation following an ERCP. Initially presenting with abdominal pain and fever, imaging revealed a retroperitoneal collection. An endoscopic approach was chosen, involving defect irrigation, catheter insertion, and the placement of a stent secured with clips, enabling liquid diet feeding. After four weeks, the collection resolved, the stent and catheter were removed, and the defect closed using APC and clips. Follow-ups confirmed no remaining symptoms or complications. This approach demonstrates that endoscopic treatment is a viable, cost-effective alternative to surgery for such conditions.

Asset Subtitle

Rafael Arevalo

Keywords

endoscopic treatment

duodenal perforation

Staphylococcal infection

ERCP complication

non-surgical approach