The Korean Journal of Internal Medicine

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Case Report
Korean J Med. 2015;88(1):54-59. Published online January 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.1.54
위 내시경 점막하 박리술 후 발생한 기흉 1예
이유림, 허준, 정민규, 김성국, 강은정, 여승재, 박혜윤
경북대학교 의학전문대학원 내과학교실
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
Corresponding author: Jun Heo ,Tel: +82-53-200-5505, Fax: +82-53-426-2046, Email: hero797@hanmail.net
Received: April 24, 2014; Revised: June 30, 2014   Accepted: August 13, 2014.


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.

Keywords :Endoscopy, Dissection, Complication, Pneumothorax

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