Pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema after endoscopic submucosal dissection of a rectal lateral spreading tumor

Meyer, Matheus M.M.M.D.E.; Cruz, Geraldo Magela Gomes da; Sampaio, Diego Vieira; Lanna, David de; Costa, Luciana Assis; Teixeira, Ricardo G.; Lavall, Fernando José Campos; Zanetti, Daniel A.; Lopes, Roberta G.S.; Jardim, Nayara S.R.; Lima, Eloah G.

doi:10.1016/j.jcol.2014.08.008

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Pneumoretroperitoneum is described as a complication of colorectal endoscopic procedures, especially endoscopic submucosal dissections [ 8 9 10 ]. Insufflation with carbon dioxide, instead of ambient air, can prevent this complication because Carbon dioxide is more rapidly absorbed and eliminated by the body [ 10 11 ]. In the case of TEM, the use of carbon dioxide insufflation to prevent the formation of pneumorectum is standard, and pneumoretroperitoneum is rarely reported as a complication in this procedure.…”

Section: Discussionmentioning

confidence: 99%

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

Martins

Coura²,

Almeida

et al. 2017

Ann Coloproctol

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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.

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Section: Discussionmentioning

confidence: 99%

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

Martins

Coura²,

Almeida

et al. 2017

Ann Coloproctol

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Emphysema as a complication after transanal endoscopic microsurgery (TEM) (case report and review)

Khomyakov,

Eryshova,

Kapitanov

et al. 2023

Koloproktologiâ

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Background: transanal endoscopic microsurgery (TEM) is a safe method of local excision of benign tumor and early cancer. Emphysema is rare complication after transanal procedures, occurring only in 1.5%. There is no accepted approach for these patients. AIM: definition and treatment options of ectopic air after TEM.Materials and Methods: the search was performed using PubMed and e-Library database with the following keywords: «transanal», «emphysema», «microsurgery», «pneumoperitoneum». Data about patients, symptoms, complications, treatment and results were extracted and systematized.Results: the clinical emphysema rate after TEM was 0,02%. The most frequent symptoms is crepitation in lower abdomen and fever. Increase in C-reactive protein level and leukocytosis — important markers. The method of choice for diagnosis is computed tomography. Management of emphysema symptoms is possible with conservative methods.Conclusion: the accumulation of experience in the treatment of emphysema after TEM will allow a unified approach of managing these patients.

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Pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema after endoscopic submucosal dissection of a rectal lateral spreading tumor

Cited by 2 publications

References 11 publications

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

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

Emphysema as a complication after transanal endoscopic microsurgery (TEM) (case report and review)

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