Tulip bundle technique and fibrin glue injection:Unusual treatment of colonic perforation

作     者：Filippo Mocciaro Gabriele Curcio Ilaria Tarantino Luca Barresi Marco Spada Sergio Li Petri Mario Traina 

作者机构：Department of Gastroenterology IsMeTT UPMC Surgery Unit IsMeTT UPMC 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2011年第17卷第8期

页      面：1088-1090页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Colonic perforation Endoscopic treatment Fibrin glue injection Tulip bundle technique 

摘      要：We report a case of a 63-year-old male who experienced an iatrogenic sigmoid perforation repaired combining three endoscopic *** lesion was large and irregular with three discrete perforations,therefore,we decided to close it by placing one clip per perforation,and then connecting all the clips with two *** we chose to use a fibrin glue injection to obtain a complete *** days after the colonoscopy the patient underwent a laparoscopic right hemicolectomy due to evidence of a large polyp of the caecum with high grade dysplasia and focal carcinoma in *** of the sigma showed complete repair of the *** report underlines how a conservative approach,together with a combination of various endoscopic techniques,can resolve complicated iatrogenic perforations of the colon.