Complication of endoscopic tattooing: a case report of covered perforation
| Autor: | FALCO, N., FONTANA, T., TUTINO, R., LICARI, L., RASPANTI, C., MASCOLINO, A., MELFA, I., SCERRINO, G., SALAMONE, G., GULOTTA, G. |
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| Přispěvatelé: | Falco, N., Fontana, T., Tutino, R., Licari, L., Raspanti, C., Mascolino, A., Melfa, G., Scerrino, G., Salamone, G., Gulotta, G. |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty medicine.medical_treatment Perforation (oil well) Colonoscopy Peritonitis Bacteremia Clinical Practice 03 medical and health sciences 0302 clinical medicine Enteral Nutrition medicine Humans Laparoscopy Coloring Agents Perforation medicine.diagnostic_test Tattooing business.industry Transverse colon Endoscopy Middle Aged medicine.disease Surgery Tattoing Polypectomy Carbon Anti-Bacterial Agents 030104 developmental biology Treatment Outcome Intestinal Perforation 030220 oncology & carcinogenesis Female Lipoma business Complication Colorectal Neoplasms Tomography X-Ray Computed |
| Popis: | Aim Laparoscopy is considered a good approach in treatment of colorectal neoplastic diseases; the endoscopic tattooing is then recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for intraoperative identification. We describe the case of perforation after tattoing treated conservatively. Case report 63 years old woman, underwent colonoscopy for lipoma tattooing with India ink SPOT® solution kit and saline test. Immediately after the procedure the patient has been referred the appearance of colic epi-mesogastric pain and fever; Computed Tomography (CT) without MDC identified an irregular thickening of transverse colon with some microbubbles compatible with focal peritonitis. Initial paralytic ileus was present too. The blood count and metabolic panel examinations reveal a neutrophil leucocytosis (WBC: 11.000/mmc, 80% neutrophils). Results On the base of WSES sepsis severity score and recent literature patient was treated conservatively with total parenteral nutrition, and intravenous antibiotic therapy. After the resolution of fever and reactivation of peristalsis. The discharge occurred after six days with no early complications. Conclusion India ink tattooing with SPOT® solution kit and saline test represent the first choice. It is a feasible technique although perforation is a possible complication. It may need an immediately surgical operation but in most cases a conservative management is a good and safe tool even if surgery may be attempted too. |
| Databáze: | OpenAIRE |
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