Samenvatting
We describe an impressive and rare case of surgical emphysema after minimally invasive rectal surgery. This case reports on a patient who developed massive retroperitoneal, intraperitoneal and subcutaneous emphysema directly following a transanal endoscopic microsurgery (TEM) procedure for a rectal intramucosal 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 contrast 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. Conservative treatment resulted in an uneventful recovery. With the increasing usage of TEM for rectal lesions we expect 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.
Originele taal-2 | Engels |
---|---|
Pagina's (van-tot) | 160-163 |
Aantal pagina's | 4 |
Tijdschrift | World journal of gastrointestinal surgery |
Volume | 6 |
Nummer van het tijdschrift | 8 |
DOI's | |
Status | Gepubliceerd - 27 aug. 2014 |
Extern gepubliceerd | Ja |