MARCOS A. SOUZA LIMA, M.D.; GEORGE M. MATTHEW, M.D.; BERGON F. BROKAW, M.D.; HUX ROBERT H., M.D.
To the editor: An implantable and percutaneously refillable pump (Infusaid; Infusaid Corp., Norwood, Massachusetts) has been approved recently by the Food and Drug Administration for continuous intravascular drug infusion. Symptomatic gastritis or ulcer have been reported in 16% of patients after pump placement for hepatic-arterial chemotherapy (1). We report the case of a patient with duodenal ulcer with perforation caused by the infusion catheter.
A 78-year-old white man with metastatic liver disease had a pump implanted by standard technique (2) for regional chemotherapy on 4 December 1984. He was hospitalized 5 months later with tarry stools and weakness. The patient
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SOUZA LIMA MA, MATTHEW GM, BROKAW BF, ROBERT H. H. Duodenal Perforation by an Infusion Catheter for Hepatic Chemotherapy. Ann Intern Med. 1985;103:472. doi: 10.7326/0003-4819-103-3-472_1
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Published: Ann Intern Med. 1985;103(3):472.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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