Retropneumoperitoneum due to endoscopic dilation. Is conservative management possible?

The incidence of anastomotic stricture varies due to the different definitions given to the condition. In most cases they are asymptomatic, and if there are symptoms, they are usually those of a partial intestinal obstruction. The case is presented of an 80 year old patient who underwent a lower ant...

Full description

Saved in:
Bibliographic Details
Published in:Cirugia y cirujanos 2016-09, Vol.84 (5), p.420
Main Authors: Echazarreta-Gallego, Estíbaliz, Córdoba-Díaz de Laspra, Elena, Elía-Guedea, Manuela
Format: Article
Language:Spanish
Subjects:
Aged, 80 and over
Anastomosis, Surgical - adverse effects
Colonic Diseases - complications
Colonic Diseases - etiology
Conservative Treatment
Constriction, Pathologic - therapy
Dilatation - adverse effects
Dilatation - methods
Endoscopy - adverse effects
Endoscopy - methods
Humans
Ileostomy
Intestinal Perforation - complications
Intestinal Perforation - etiology
Male
Pneumoperitoneum - surgery
Pneumothorax - surgery
Postoperative Complications - etiology
Postoperative Complications - surgery
Rectal Neoplasms - surgery
Retropneumoperitoneum - surgery
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The incidence of anastomotic stricture varies due to the different definitions given to the condition. In most cases they are asymptomatic, and if there are symptoms, they are usually those of a partial intestinal obstruction. The case is presented of an 80 year old patient who underwent a lower anterior resection for rectal neoplasm. After ileostomy closure, he presented with subocclusive symptoms caused by stenosis of colorectal anastomosis. This stenosis was managed with endoscopic dilations, and one of these dilations produced an anastomotic perforation with pneumoperitoneum, retropneumoperitoneum, and pneumothorax. Once the patient was clinically and haemodynamically stable, the perforation was treated with conservative measures, resolving the complication satisfactorily. The literature describes several management options for colorectal anastomoses strictures, such as surgical resection, rubber dilators, endoscopic dilation, all of which might produce colonic perforation. Its management ranges from conservative measures to surgical intervention.
ISSN:0009-7411
DOI:10.1016/j.circir.2015.11.003