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

• Published in: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Vol. 64; no. 2; p. 115
• Main Authors: Jung, Hye Jin, Ryu, Soo Hyung, Park, Kyoung Sik, Yoon, Won Jae, Kim, Jin Nam, Kim, You Sun, Moon, Jeong Seop
• Format: Journal Article
• Language: English
• Published: Korea (South) 01.08.2014
• Subjects: 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
• ISSN: 2233-6869

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.