Ann Coloproctol.
2017 Jun;33(3):115-118. 10.3393/ac.2017.33.3.115.
Pneumoretroperitoneum and Sepsis After Transanal Endoscopic Resection of a Rectal Lateral Spreading Tumor
- Affiliations
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- 1Division of Colorectal Surgery, School of Medicine, University of BrasÃlia, BrasÃlia, Brazil. brunomartins.coloprocto@gmail.com
- 2Department of Coloproctology, Uniprocto e Gastro ClÃnica, BrasÃlia, Brazil.
- KMID: 2385410
- DOI: http://doi.org/10.3393/ac.2017.33.3.115
Abstract
- Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.
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