unexpected delayed colon perforation after the endoscopic submucosal dissection with snaring of a laterally spreading tumor
;Young Bo Ko;Jeong-Mi Lee;Wan Soo Kim;Min Seob Kwak;Ji Wan Lee;Dong Yeol Shin;Dong-Hoon Yang;Jeong-Sik Byeon
annals of intensive care2015Vol. 48pp. 570-575
194
ko2015clinicalunexpected
Abstract
Colonic perforation may occur as a complication of diagnostic and therapeutic colonoscopy. The risk factors for perforation after colorectal endoscopic submucosal dissection (ESD) include an inexperienced endoscopist, a large tumor size, and submucosal fibrosis. The mechanisms of perforation include unintended endoscopic resection/dissection and severe thermal injury. Here, we report a case of colon perforation that occurred after ESD with snaring of a laterally spreading tumor. The perforation was completely unexpected because there were no colorectal ESD-associated risk factors for perforation, deep dissection, or severe coagulation injury in our patient.