Progress of Digestive Endoscopy(1972)
Online ISSN : 2189-0021
Print ISSN : 0389-9403
Case report
A Case of Iatrogenic Colonic Perforation Treated by Clipping and Preventing Surgery
Norihiro KaminagaHisashi OkaYutaka EndoTakafumi KarasawaNaoyuki UragamiMasaya YamadaTakashi HattoriYouji SeoNobuhiko OkawaHiroshi TakahashiRikiya Fujita
Author information
JOURNAL FREE ACCESS

1999 Volume 53 Pages 186-187

Details
Abstract
The patient was a 77-year-old male with previous history of surgery (low anterior resection) due to a rectal carcinoma in October 1996. During endoscopic follow-up examination performed in December 1997, insertion of the sliding tube produced a perforation of the colon at approximately 20 cm from the anus. No symptoms were referred by the patient and the perforation was sutured with hemoclips. Abdominal X-ray taken immediately after the procedure showed no free air in the abdomen.
The patient was hospitalized and treated conservatively with total parenteral nutrition and antibiotic therapy. The slight abdominal pain disappeared 10 days later. Endoscopic follow-up 2 weeks later showed the perforated area changed to an ulcer coated with fibrin. Oral diet was then started and the patient was discharged 1 week later.
We report a case in which suturing with hemoclips showed to be useful for the treatment of an iatrogenic colonic perforation.
Fullsize Image
Content from these authors
© 1999 Japan Gastroenterological Endoscopy Society Kanto Chapter
Previous article Next article
feedback
Top