A case report of blunt gastric perforation treated with endoscopic clip closure

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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.


Gastroscopy identified a ruptured artery and gastric perforation.


Repaired immediately using titanium clips.


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.

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