1079 Omental Patch Closure With Through the Scope Endoscopic Clips in the Treatment of a Large Iatrogenic Gastric Perforation at ESD

We report the case of an 18-year-old female patient with no past medical history who presented to the emergency department with acute abdominal pain and vomiting on the background of a long history of ingesting hair (trichophagia). Computed tomography revealed pneumoperitoneum and free fluid in keeping with visceral perforation. In addition, a large hair bolus was seen extending in contiguity from the stomach to the jejunum. A laparotomy was performed, revealing an anterior gastric perforation secondary to a 120cm long trichobezoar, which had formed a cast of the entire stomach, duodenum and proximal jejunum. The bezoar was removed and an omental patch repair to the anterior ulcer was performed. The patient made an excellent postoperative recovery and was discharged home with psychiatric follow-up review.

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LAPAROSCOPIC OMENTAL PATCH CLOSURE FOR PERFORATED DUODENAL ULCERS

The journal of the Japanese Practical Surgeon Society ◽

10.3919/ringe1963.57.798 ◽

1996 ◽

Vol 57 (4) ◽

pp. 798-803

Author(s):

Naoto FUKUDA ◽

Nobuyoshi MIYAJIMA ◽

Nobuyasu KANO ◽

Tatsuo YAMAKAWA ◽

Mitsugi SUGIYAMA

Keyword(s):

Duodenal Ulcers ◽

Omental Patch ◽

Patch Closure

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Successful omental patch closure with over‐the‐scope clip for delayed stomach perforation after endoscopic hemostasis for post‐endoscopic submucosal dissection bleeding

Digestive Endoscopy ◽

10.1111/den.13323 ◽

2019 ◽

Vol 31 (S1) ◽

pp. 24-25

Author(s):

Seiichiro Abe ◽

Masayoshi Yamada ◽

Ichiro Oda

Keyword(s):

Endoscopic Submucosal Dissection ◽

Endoscopic Hemostasis ◽

Omental Patch ◽

Submucosal Dissection ◽

Over The Scope Clip ◽

Patch Closure

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Gastric Perforation with Omental Patch Repair: A Rare Complication of Pulmonary Resuscitation in COVID-19 Pneumonia

Case Reports in Surgery ◽

10.1155/2020/8850739 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Vincent Marcucci ◽

Ratul Bhattacharyya ◽

Stephanie Yee ◽

Jamshed Zuberi ◽

Mark Ingram

Keyword(s):

Gastric Perforation ◽

Rare Complication ◽

Exploratory Laparotomy ◽

Patch Repair ◽

Supportive Treatment ◽

Mask Ventilation ◽

Omental Patch ◽

X Ray ◽

Chest X Ray ◽

Bag Mask Ventilation

A 71-year-old male, diagnosed with coronavirus disease 2019 (COVID-19), was admitted to the medical-surgical floor for supportive treatment. The patient received bag-mask ventilation (BMV) secondary to severe hypoxia and reendotracheal intubation in the hospital on day eleven. A chest X-ray following reintubation noted concern for intra-abdominal air. Significant abdominal distention and subsequent diagnostic imaging showed pneumoperitoneum and a possible perforation of the stomach. The patient underwent an exploratory laparotomy with omental patching for a gastric perforation. Amidst the height of the COVID-19 pandemic, several important findings have been made through the disease sequelae of this individual patient.

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