Delayed bowel perforation after routine distal loopogram prior to ileostomy closure
| Autor: | Keat Seong Poh, Shun Siang Chong, Siew Yep Hoh, April Camilla Roslani, Rezal Aziz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
anastomosis leak
medicine.medical_specialty bowel perforation ultralow anterior resection business.industry medicine.medical_treatment Peritonitis Case Report ileostomy General Medicine Bowel perforation Anastomosis medicine.disease Resection Surgery Ileostomy Low rectal cancer distal loopogram medicine Medicine Complication business Ileostomy closure |
| Zdroj: | Open Medicine, Vol 15, Iss 1, Pp 261-265 (2020) Open Medicine |
| ISSN: | 2391-5463 |
| DOI: | 10.1515/med-2020-0037 |
| Popis: | Ultra-low anterior resection for low rectal cancer is usually done with a covering ileostomy as a safety measure to reduce the consequences of distal anastomotic failure. In many centres, distal loopogram is performed routinely, prior to the closure of the loop ileostomy, to assess the integrity of anastomosis. Distal loopogram is generally considered a safe procedure with very low complication rates, especially when water-soluble contrast is used. We report two cases of delayed bowel perforation which led to severe sepsis and generalized peritonitis after distal loopogram prior to ileostomy closure. Our cases highlight the potential dangers of distal loopogram. Therefore, the routine usage of this procedure should be scrutinized and the patient needs to be properly counselled prior to the procedure. |
| Databáze: | OpenAIRE |
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