A case of spontaneous bacterial peritonitis following argon plasma coagulation for angiodysplasias in the colon

Korean J Gastroenterol. 2014 Aug;64(2):115-8. doi: 10.4166/kjg.2014.64.2.115.

Abstract

Spontaneous bacterial peritonitis (SBP) is the most common infection in liver cirrhosis patients, and is not a result of surgery or intra abdominal infection. Argon plasma coagulation (APC) is an endoscopic procedure used with a high-frequency electrical current for control of bleeding from gastrointestinal vascular ectasias including angiodysplasia and gastric antral vascular ectasia. This procedure is known to be safe because it uses a noncontact method. Therefore, tissue injury is minimal and up to two to three millimeters. However, we experienced a case of SBP occurring immediately after performance of APC for control of severe bleeding from angiodysplasia in the colon in a patient with liver cirrhosis and hepatocellular carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiodysplasia / complications
  • Angiodysplasia / diagnosis*
  • Anti-Bacterial Agents / therapeutic use
  • Argon Plasma Coagulation*
  • Bacterial Infections / diagnosis*
  • Bacterial Infections / drug therapy
  • Bacterial Infections / microbiology
  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / diagnosis
  • Colonic Diseases / complications
  • Colonic Diseases / diagnosis*
  • Colonoscopy
  • Female
  • Gastrointestinal Hemorrhage / therapy
  • Gram-Negative Bacteria / isolation & purification
  • Humans
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / diagnosis
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnosis
  • Peritonitis / diagnosis*
  • Peritonitis / drug therapy
  • Peritonitis / microbiology

Substances

  • Anti-Bacterial Agents