Retropneumoperitoneum due to endoscopic dilation. Is conservative management possible?

Cirugia y cirujanos
Estíbaliz Echazarreta-GallegoManuela Elía-Guedea

Abstract

The incidence of anastomotic stricture varies due to the different definitions given to the condition. In most cases they are asymptomatic, and if there are symptoms, they are usually those of a partial intestinal obstruction. The case is presented of an 80 year old patient who underwent a lower anterior resection for rectal neoplasm. After ileostomy closure, he presented with subocclusive symptoms caused by stenosis of colorectal anastomosis. This stenosis was managed with endoscopic dilations, and one of these dilations produced an anastomotic perforation with pneumoperitoneum, retropneumoperitoneum, and pneumothorax. Once the patient was clinically and haemodynamically stable, the perforation was treated with conservative measures, resolving the complication satisfactorily. The literature describes several management options for colorectal anastomoses strictures, such as surgical resection, rubber dilators, endoscopic dilation, all of which might produce colonic perforation. Its management ranges from conservative measures to surgical intervention.

References

Sep 1, 1989·Diseases of the Colon and Rectum·M A LuchtefeldW P Mazier
May 18, 2001·Diseases of the Colon and Rectum·F Y AraghizadehD E Beck
Oct 13, 2001·Diseases of the Colon and Rectum·R D SchlegelE Tiret
May 3, 2003·Surgical Endoscopy·K L SuchanB C Manegold
Mar 11, 2006·Techniques in Coloproctology·M J ForshawM Stewart
Feb 20, 2008·World Journal of Surgery·R PhitayakornUNKNOWN International Anastomotic Leak Study Group
Jan 27, 2010·World Journal of Gastroenterology : WJG·Varut Lohsiriwat
Mar 1, 2011·Gastrointestinal Endoscopy·Ivan JovanovicKlaus Mönkemüller
Sep 14, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L PoleseS Merigliano
Aug 2, 2012·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Mónica Mengual-BallesterJosé Luis Aguayo-Albasini

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.