Open AccessAnastomotic dehiscence following retroflexion in surveillance colonoscopy: a case report
Author(s) -
H Amada,
Pratik Bhattacharya,
Christopher Thompson,
Anil Thomas George
Publication year - 2020
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/rcsann.2020.0026
Subject(s) - medicine , dehiscence , colonoscopy , anastomosis , laparotomy , surgery , colostomy , general surgery , complication , colorectal cancer , resection , peritonitis , cancer
Anastomotic dehiscence following colonoscopy for routine surveillance after anterior resection for colorectal cancer is unreported in the English literature. It is a potentially fatal complication requiring awareness, quick recognition and management. We present the case of a 45-year-old woman who presented 12 hours after a routine follow-up colonoscopy with peritonitis due to anastomotic rupture diagnosed on computed tomography. The patient was taken to theatre for emergency laparotomy and formation of an end colostomy. Her postoperative recovery and follow-up were optimal.