CC BY-NC-ND 4.0 · Journal of Coloproctology 2015; 35(04): 227-229
DOI: 10.1016/j.jcol.2015.08.002
Case Report

Repair of post polypectomy colonic perforation by Endoclip: a case report

Reparo de perfuração de cólon pós-polipectomia por Endoclip: relato de caso
Ahmad Hormati
a  Division of Gastroenterology and Hepatology, Department of Internal Medicine, Qom University of Medical Sciences, Qom, Iran
,
Mohmad Reza Ghadir
a  Division of Gastroenterology and Hepatology, Department of Internal Medicine, Qom University of Medical Sciences, Qom, Iran
,
Pezhman Alavinejad
b  Research Center for Infectious Diseases of Digestive System, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
,
Seyed Saeed Sarkeshikian
a  Division of Gastroenterology and Hepatology, Department of Internal Medicine, Qom University of Medical Sciences, Qom, Iran
,
Mahdi Pezeshki Modares
a  Division of Gastroenterology and Hepatology, Department of Internal Medicine, Qom University of Medical Sciences, Qom, Iran
› Author Affiliations

Abstract

A 73-year-old woman was admitted to evaluate for iron deficiency anemia, increased serum creatinine, and ascites. Her colonoscopy revealed a polyp at the junction of sigmoid and descending colon, and after polypectomy, a 6 mm colonic perforation was seen. The perforation was detected by radiography and CT scan; and beside conservative management and antibiotics, her perforation was closed by using Endoclip. The patient was observed and discharged from hospital without any surgery 5 days later, and in follow-up there was no problem regarding perforation.

Resumo

Mulher, 73 anos, internada para avaliação para anemia ferropriva, com aumento da creatinina sérica e ascite. A colonoscopia revelou um pólipo na junção dos colos sigmoide e descendente e, em seguida à polipectomia, foi observada uma perfuração de 6 mm no cólon, comprovada por radiografias e tomografia computadorizada. Além do tratamento conservador e da antibioticoterapia, a perfuração foi ocluída com Endoclip. A paciente ficou sob observação e recebeu alta do hospital sem qualquer cirurgia 5 dias mais tarde. Durante o seguimento, não foram observados problemas com relação à perfuração.



Publication History

Received: 16 June 2015

Accepted: 28 August 2015

Publication Date:
17 February 2021 (online)

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