Postoperative Duodenal Stenosis as an Early Complication Following Laparoscopy-Assisted REsection of Transverse Colon Cancer: Report of Successful Endoscopic Balloon Dilatation

Abstract Background Portal venous gas has traditionally been considered an inevitable harbinger of death due to its association with bowel necrosis. Recently, an increasing number of cases of portal venous gas have been reported in patients with various clinical conditions and without bowel necrosis. We herein report the case of a patient in whom portal venous gas developed after transverse colon cancer surgery. Case presentation A 69-year-old man who had transverse colon cancer underwent insertion of a transanal ileus tube for decompression. Transverse colon resection was performed on the 11th day after the insertion of the transanal ileus tube. The patient had a high fever on the 6th day after the operation. Computed tomography showed portal venous gas over the entire area of the liver and pneumatosis intestinalis in the wall of the ascending colon. There were no signs of anastomotic leakage or bowel necrosis, so we decided to use conservative therapy with fasting and antibiotics. The portal venous gas disappeared on the 19th day after the operation. The patient was discharged in good condition on the 29th day after the operation. Conclusions Conservative treatment for portal venous gas is reasonable for patients without signs of anastomotic leakage or bowel necrosis. However, it is important to carefully observe patients with portal venous gas during conservative treatment because portal venous gas may be life-threatening.

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Bowel Perforation Presenting as Head and Neck Subcutaneous Emphysema

The American Surgeon ◽

10.1177/0003134821995085 ◽

2021 ◽

pp. 000313482199508

Author(s):

Dezarae R. Leto ◽

Derek T. Clar ◽

David A. Goodman

Keyword(s):

Head And Neck ◽

Chest Wall ◽

Clinical Evaluation ◽

Subcutaneous Emphysema ◽

Balloon Dilatation ◽

Soft Tissues ◽

Bowel Resection ◽

Bowel Perforation ◽

Endoscopic Balloon Dilatation ◽

Endoscopic Balloon

This patient with Crohn's disease underwent endoscopic balloon dilatation of an ileocolic stricture, and shortly thereafter developed subcutaneous emphysema in the soft tissues of her face, neck, and chest wall. Clinical evaluation and imaging revealed peritonitis from perforated bowel. She underwent laparotomy and bowel resection and recovered well. Subcutaneous emphysema in the head and neck from perforated bowel is a rare but recognized presentation of viscus perforation.

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Distribution of lymph node metastasis and oncological outcomes of mid‐transverse colon cancer: extended versus transverse colectomy

Colorectal Disease ◽

10.1111/codi.15659 ◽

2021 ◽

Author(s):

Hyeong‐min Park ◽

Jaram Lee ◽

Soo Young Lee ◽

Chang Hyun Kim ◽

Hyeong Rok Kim

Keyword(s):

Colon Cancer ◽

Lymph Node ◽

Lymph Node Metastasis ◽

Transverse Colon ◽

Transverse Colon Cancer ◽

Oncological Outcomes ◽

Node Metastasis ◽

Transverse Colectomy

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Surgical procedure for unexpected balloon burst complication during endoscopic balloon dilatation in a patient with common bile duct stones

Surgical Case Reports ◽

10.1186/s40792-020-01014-5 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Koji Morishita ◽

Hideaki Sasaki

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Balloon Dilatation ◽

Rare Complication ◽

Common Bile Duct Stones ◽

Endoscopic Retrograde ◽

Case Presentation ◽

Endoscopic Balloon Dilatation ◽

Cbd Stones ◽

Endoscopic Balloon

Abstract Background Endoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones. Although pancreatitis and bleeding have been reported as major complications of EBD, balloon-related complications are rarely reported in EBD. Case presentation A 30-year-old woman with suspected CBD stones underwent endoscopic retrograde cholangiopancreatography (ERCP) and EBD. During EBD, the balloon of the EBD catheter suddenly burst at the biliary sphincter. We therefore performed surgical intervention: removal of the broken EBD catheter and T-tube drainage. Finally, the patient was discharged without any complications. Conclusions We present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication.

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