Gastroscopymay not only allow identification of gastric injury, but may also facilitate prompt repair.Patient concerns:
A 39-year-old male patient was admitted 3 hours after abdominal injury caused by penetration of a screwdriver. Physical examination and computed tomography showed no evidence of gastric injury. However, 3000 mL fresh blood was vomited during the subsequent observation period.Diagnoses:
Gastroscopy identified a ruptured artery and gastric perforation.Interventions:
Repaired immediately using titanium clips.Outcomes:
After operation, the patient recovered well without complications. No more bleeding was observed after the operation.Lesson subsections asper style:
Interventional endoscopy has evolved as an effective alternative to primary surgery for treating gastrointestinal perforation.