Laparoscopic treatment of colonoscopic perforation: a case report

Infrequent but severe complications may occur during both diagnostic and therapeutic colonoscopy, including bleeding, perforation and sepsis. The most dangerous complication is perforation. Some iatrogenic perforations may be effectively managed by non-operative measures, but immediate surgery is mo...

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Bibliographic Details
Published in:	Chirurgia italiana Vol. 59; no. 4; p. 587
Main Authors:	Volpe, Alessandro, Piccoli, Micaela, Colli, Giovanni, Mecheri, Fouzia, Melotti, Gianluigi
Format:	Journal Article
Language:	Italian
Published:	Italy 01-07-2007
Subjects:	Aged Colonic Diseases - etiology Colonic Diseases - surgery Colonoscopy - adverse effects Humans Iatrogenic Disease Intestinal Perforation - etiology Intestinal Perforation - surgery Laparoscopy Male Treatment Outcome
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Summary:	Infrequent but severe complications may occur during both diagnostic and therapeutic colonoscopy, including bleeding, perforation and sepsis. The most dangerous complication is perforation. Some iatrogenic perforations may be effectively managed by non-operative measures, but immediate surgery is most definitely indicated in order to minimise the morbidity and mortality associated with the complication. We report a case of colonoscopic perforation secondary to a therapeutic procedure, a snare polypectomy, successfully managed by laparoscopic repair using passing sutures and omentum fixation. The laparoscopic approach enables the surgeon to avoid an unnecessary laparotomy for an endoscopic complication.
ISSN:	0009-4773