Delayed Perforation after Endoscopic Detachable Snare Ligation for Colonic Diverticular Hemorrhage

被引：2

作者：

Nagahashi, Takayuki ^{[1
,2
]}

Hamada, Koichi ^{[1
,3
]}

Horikawa, Yoshinori ^{[1
]}

Shiwa, Yoshiki ^{[1
]}

Techigawara, Kae ^{[1
]}

Fukushima, Daizo ^{[1
]}

Nishino, Noriyuki ^{[1
]}

Todate, Yukitoshi ^{[3
]}

Irisawa, Atsushi ^{[2
]}

机构：

[1] Southern Tohoku Gen Hosp, Dept Gastroenterol, Koriyama, Fukushima, Japan

[2] Dokkyo Med Univ, Sch Med, Dept Gastroenterol, Mibu, Tochigi, Japan

[3] Fukushima Med Univ, Dept Minimally Invas Surg & Med Oncol, Fukushima, Japan

来源：

INTERNAL MEDICINE | 2023年 / 62卷 / 21期

关键词：

colonic diverticular hemorrhage; endoscopic detachable snare ligation; delayed perforation; BAND LIGATION;

D O I：

10.2169/internalmedicine.1180-22

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old man was admitted to our hospital with severe hematochezia. Abdominal enhanced computed tomography (CT) demonstrated extravasation of contrast material from the descending colon. Colonoscopy revealed recent bleeding in the descending colon diverticulum. Bleeding was stopped using detachable snare ligation. Eight days later, the patient developed abdominalgia, and CT revealed free air caused by delayed perforation. The patient underwent emergency surgery. Perforation at the ligation site was detected using intraoperative colonoscopy. This report is the first to describe a case of delayed perforation after endoscopic detachable snare ligation for colonic diverticular hemorrhage.

引用

页码：3137 / 3142

页数：6

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