Massive surgical emphysema following transanal endoscopic microsurgery

Geert A.A.M. Simkens, Simon W. Nienhuijs, Misha D.P. Luyer, Ignace H.J.T. de Hingh (Corresponding author)

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

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-2Engels
Pagina's (van-tot)160-163
Aantal pagina's4
TijdschriftWorld journal of gastrointestinal surgery
Volume6
Nummer van het tijdschrift8
DOI's
StatusGepubliceerd - 27 aug. 2014
Extern gepubliceerdJa

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