Open AccessSuccessful endoscopic closure of a colonic perforation one day after endoscopic mucosal resection of a lesion in the transverse colon
Author(s) -
Kazuya Inoki,
Taku Sakamoto,
Masau Sekiguchi,
Masayoshi Yamada,
Takeshi Nakajima,
Takahisa Matsuda,
Yutaka Saito
Publication year - 2016
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v4.i8.238
Subject(s) - medicine , colonoscopy , transverse colon , endoscopic mucosal resection , perforation , surgery , lesion , quadrant (abdomen) , stomach , endoscopy , radiology , gastroenterology , colorectal cancer , materials science , cancer , punching , metallurgy
A 73-year-old man underwent endoscopic mucosal resection (EMR) of a 20-mm flat elevated lesion on the transverse colon. The morning after the procedure, he started to have severe right upper quadrant pain after his first meal. A computed tomography scan revealed free air and a stomach filled with food. He was diagnosed to have delayed post-EMR intestinal perforation. He underwent emergent colonoscopy and clipping of the perforated site. He was discharged 8 d after the endoscopic closure without the need for surgical intervention. The meal was not the cause of the colon transversum perforation.