Successful endoscopic closure of a colonic perforation one day after endoscopic mucosal resection of a lesion in the transverse colon

作     者：Kazuya Inoki Taku Sakamoto Masau Sekiguchi Masayoshi Yamada Takeshi Nakajima Takahisa Matsuda Yutaka Saito 

作者机构：Endoscopy Division National Cancer Center HospitalTokyo Cancer Screening Division Research Center for Cancer Prevention and Screening National Cancer Center HospitalTokyo 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2016年第4卷第8期

页      面：238-242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：Colonoscopy Colorectal tumors Endoscopic surgical procedure Emergencies Intestinal perforation 

摘      要：A 73-year-old man underwent endoscopic mucosal resection(EMR) of a 20-mm flat elevated lesion on the transverse colon. The morning after the procedure, he started to have severe right upper quadrant pain after his first meal. A computed tomography scan revealed free air and a stomach filled with food. He was diagnosed to have delayed post-EMR intestinal perforation. He underwent emergent colonoscopy and clipping of the perforated site. He was discharged 8 d after the endoscopic closure without the need for surgical intervention. The meal was not the cause of the colon transversum perforation.