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

Meta Tag

Concept Duodenal Perforation

Concept Endoscopic Retrograde Cholangiopancreatography

Concept Delayed Perforation

Concept Retroperitoneal Collection

Concept Endoscopic Drainage

Keywords

endoscopic treatment

duodenal perforation

Staphylococcal infection

ERCP complication

non-surgical approach

Duodenal Perforation

Endoscopic Retrograde Cholangiopancreatography

Delayed Perforation

Retroperitoneal Collection

Endoscopic Drainage