Retroneumoperitoneo secundario a dilatación endoscópica de anastomosis colorrectal: ¿permite un manejo conservador?

Echazarreta-Gallego, E. ; Córdoba-Díaz de Laspra, E. (Universidad de Zaragoza) ; Elía-Guedea, M. (Universidad de Zaragoza)

Resumen: Background The incidence of anastomotic stricture varies due to the different definitions given to the condition. In most cases they are asymptomatic, and if there are symptoms, they are usually those of a partial intestinal obstruction. Case report The case is presented of an 80 year old patient who underwent a lower anterior resection for rectal neoplasm. After ileostomy closure, he presented with subocclusive symptoms caused by stenosis of colorectal anastomosis. This stenosis was managed with endoscopic dilations, and one of these dilations produced an anastomotic perforation with pneumoperitoneum, retropneumoperitoneum, and pneumothorax. Once the patient was clinically and haemodynamically stable, the perforation was treated with conservative measures, resolving the complication satisfactorily. Conclusions The literature describes several management options for colorectal anastomoses strictures, such as surgical resection, rubber dilators, endoscopic dilation, all of which might produce colonic perforation. Its management ranges from conservative measures to surgical intervention.

Idioma: Español

DOI: 10.1016/j.circir.2015.11.003

Año: 2016

Publicado en: Cirugia y Cirujanos 84, 5 (2016), 420-424
ISSN: 0009-7411

Factor impacto JCR: 0.276 (2016)

Categ. JCR: SURGERY rank: 190 / 196 = 0.969 (2016) - Q4 - T3

Factor impacto SCIMAGO: 0.167 - Surgery (Q4)

Tipo y forma: Article (Published version)

Área (Departamento): Área Cirugía (Dpto. Cirugía,Ginecol.Obstetr.)