The Korean Journal of Medicine 2015;88(1):54-59.
Published online January 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.1.54   
A Case of Pneumothorax Following Gastric Endoscopic Submucosal Dissection
Yu Rim Lee, Jun Heo, Min Kyu Jung, Sung Kook Kim, Eun Jeong Kang, Seong Jae Yeo, Hye Yoon Park
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
위 내시경 점막하 박리술 후 발생한 기흉 1예
이유림, 허준, 정민규, 김성국, 강은정, 여승재, 박혜윤
경북대학교 의학전문대학원 내과학교실
Correspondence: 
Jun Heo, Tel: +82-53-200-5505, Fax: +82-53-426-2046, Email: hero797@hanmail.net
Received: 24 April 2014   • Revised: 30 June 2014   • Accepted: 13 August 2014
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Endoscopic submucosal dissection (ESD) is widely accepted as an alternative treatment to surgical resection for gastric neoplastic lesions. Among the complications of gastric ESD, perforation is usually manifested as a pneumoperitoneum. Here, we report a patient with a right-sided pneumothorax, pneumoperitoneum, and pneumoretroperitoneum as complications of gastric ESD. The patient recovered without further complications using conservative treatment, including endoscopic clipping, nasogastric drainage, and insertion of a chest tube.
Key Words: Endoscopy; Dissection; Complication; Pneumothorax


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