hrvatski

Laparoscopic repair of iatrogenic sigmoid colon perforation

INTRODUCTION/AIM: Colon perforation during colonoscopy is a rare complication, occurring in less than 1% of patients. Nevertheless, taking into account the number of colonoscopies performed annually, it is clear that this potentially fatal complication occurs from time to time. Treatment of iatrogenic colon perforation is surgical. When the site of perforation is found, it can be oversewn or a wedge resection and termino-terminal anastomosis can be carried out. This operation is traditionally carried out through laparotomy, but a number of case reports can be found where iatrogenic colon perforation was treated using laparoscopic approach. Here we present a case of iatrogenic sigmoid colon perforation during colonoscopy in an 80 yr old male patient. CASE REPORT: An 80 year old male patient was urgently admitted to our department after he suffered colon perforation during elective colonoscopy. Brief preoperative preparation was performed and the patient was transferred to the operating room. The operation started 5 hours after the injury. We performed exploratory laparoscopy and identified the site of perforation at the sigmoid colon. The site of perforation was oversewn using intracorporeal technique and a thorough peritoneal lavage was performed. The postoperative period was uneventful and the patient was discharged 4 days after the surgery with restored bowel function. CONCLUSION: The patient in this case recovered and was discharged much faster than would have been the case had we performed laparotomy. This case demonstrates the usefulness of laparoscopic approach in the case of iatrogenic colon perforation.

laparoskopska kirurgija; perforacija debelog crijeva

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