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

机译:经直肠内镜切除直肠侧向扩散性肿瘤后的Pastromoretroperitoneum和败血症

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摘要

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.
机译:经肛门内窥镜显微手术被认为是一种安全,适当且微创的方法,内窥镜显微手术后的并发症很少。我们报告了直肠侧面扩散性肿瘤切除术后脓毒症和气腹腹膜炎的病例。该患者出现直肠粘液排出。结肠镜检查显示直肠侧面扩散肿瘤。该患者接受了内镜下经肛门切除的病灶。他表现出腹部聚焦脓毒症,影像学检查发现了肺营养不良。采用a结肠造口术进行了新的外科手术。尽管在经肛门内窥镜显微手术后还有其他关于气腹腹膜炎的报道,但引起该病例注意的是败血症。

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