2016, Number 3
Rev Mex Cir Endoscop 2016; 17 (3)
Laparoscopic abdominal lavage and drainage in rectal perforation after endoscopic polypectomy. Case report
Sainz HJC, Murillo ZA, Aragón LJA, Zepeda MJA
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Language: Spanish
References: 5
Page: 163-166
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ABSTRACT
Introduction: Colonoscopy is a procedure that is increasing in frequency, relatively without severe complications. Nevertheless, some patients have had some complications such as pneumothorax. pneumoperitoneum, mesenteric tear, volvulus, incarcerated hernias, retroperitoneal abscess, bleeding and perforation. The worse of these complications is perforation with an incidence of 5% in therapeutic procedures. There have been many successful ways to approach this incident. Case report: A 65-year old woman with a previous rectal polypectomy performed through a colonoscopy, developed three days later left lower quadrant abdominal pain, bloody stools, leukocytosis and malaise. CT scan shows a pneumoperitoneum with a phlegmon in the lower abdomen. Laparoscopic lavage whit a drain placement was performed with hospital discharge the sixth postoperative day without complications. Discusion: Once perforation is diagnosed the most important factor to approach this event successfully is early surgical repair. Depending on the size of the lesion and the abdominal cavity contamination the type of repair will be determined from primary closure to intestinal resection and stoma creation. Conclusions: There are many surgical options to repair this post-colonoscopy complication. This study presents laparoscopic abdominal lavage and drainage with good results in our patient.REFERENCES
Akgul GG, Yenidogan E, Ozsoy Z, Okan I, Kayaoglu HA, Tali S et al. Conservative management of large rectosigmoid perforation under peritoneal reflection: case report and review of the literature. Case Rep Surg. 2015; 2015: 364576. doi: 10.1155/2015/364576. Epub 2015 Mar 31. PubMed PMID: 25918665; PubMed Central PMCID: PMC4396719.