PMC3297480_01
Duodenal perforation visible in upper field prior to first metallic clip placement.
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fig1
After passage of the side-viewing endoscope to the ampulla, the papilla was examined at which time bleeding was seen coming from the duodenal wall opposite the papilla, (Figure 1).
Fluoroscopy showed free air in the peritoneal cavity and peritoneal leakage of contrast injected into the duodenum confirmed a leak.
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fig2
Fluoroscopy showed free air in the peritoneal cavity, and peritoneal leakage of contrast injected into the duodenum confirmed a leak, (Figure 2).
Multiple endoclips have been successfully utilized to close the perforation.
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fig3
Scientific, Resolution), (Figure 3). Subsequent contrast injection into duodenum showed no leak.