Massive surgical emphysema following transanal endoscopic microsurgery

查看全文 作　　者：Geert AAM [1]Simkens;Simon W [1]Nienhuijs;Misha DP [1]Luyer;Ignace HJT de [1]Hingh

机构地区：[1]Department of Surgical Oncology, Catharina Hospital Eindhoven

出　　处：《World Journal of Gastrointestinal Surgery》索引2014年第6卷第8期,共4页

摘　　要：We describe an impressive and rare case of surgical emphysema after minimally invasive rectal surgery. This case reports on a patient who developed mas-sive retroperitoneal, intraperitoneal and subcutaneous emphysema directly following a transanal endoscopic microsurgery(TEM) procedure for a rectal intramuco-sal carcinoma. Free intra-abdominal air after gastro-intestinal surgery can be a sign of a bowel perforation or anastomotic leakage. This is a serious complication often requiring immediate surgery. In our patient an abdominal computed tomography-scan with rectal con-trast showed no signs of a rectal perforation. Therefore this emphysema was caused by the insufflation of CO2 gas in the rectum during the TEM-procedure. Conserva-tive treatment resulted in an uneventful recovery. With the increasing usage of TEM for rectal lesions we ex-pect this complication to occur more often. After ruling out a full thickness rectal wall perforation in patients with surgical emphysema following TEM, conservative treatment is the treatment of choice. 关键词：TRANSANAL endoscopic MICROSURGERY Mi-crosurgery GASTROINTESTINAL endoscopy Colorectal neoplasms Retropneumoperitoneum INTRAPERITONEAL EMPHYSEMA SUBCUTANEOUS EMPHYSEMA

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Massive surgical emphysema following transanal endoscopic microsurgery

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