Abstract
We report a case of cecal perforation by a transanal decompression tube in a subject suffering from obstructive ascending–colon carcinoma. An 86–year–old woman admitted for colon obstruction due to advanced ascending–colon carcinoma had a transanal decompression tube placed in the ascending colon through colonoscopy. Despite temporary symptomatic relief, she developed fever and abdominal pain relapse 2 days later. Abdominal computed tomography (CT) suggested cecal perforation by the decompression tube from the presence of free air in the abdominal cavity. Emergency laparotomy confirmed a cecal perforation with a 5 mm hole and type 2 ascending colon carcinoma. Right hemicolectomy was conducted following intaraperitoneal irrigation. She was discharged without morbidity 16 days after surgery. Transanal decompression tube use in colon obstruction therefore poses risks such as hemorrhage and intestinal perforation. Immediate surgery is recommended provided that ileus is relieved.
