Pneumoretroperitoneum and Sepsis After Transanal Endoscopic Resection of a Rectal Lateral Spreading Tumor.

Author: Bruno Augusto Alves MARTINS ¹ ; Marcelo de Melo Andrade COURA ; Romulo Medeiros de ALMEIDA ; Natascha Mourão MOREIRA ; João Batista de SOUSA ; Paulo Gonçalves de OLIVEIRA
Author Information

1. Division of Colorectal Surgery, School of Medicine, University of Brasília, Brasília, Brazil. brunomartins.coloprocto@gmail.com
Publication Type:Case Report
Keywords: Transanal endoscopic microsurgery; Retropneumoperitoneum; Sepsis
MeSH: Colonoscopy; Colostomy; Humans; Microsurgery; Retropneumoperitoneum*; Sepsis*; Transanal Endoscopic Microsurgery
From:Annals of Coloproctology 2017;33(3):115-118
CountryRepublic of Korea
Language:English
Abstract: Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.