Severe delayed complication after percutaneous endoscopic colostomy for chronic intestinal pseudo-obstruction: a case report and review of the literature

Article Article scientifique Rapport de cas Severe delayed complication after percutaneous endoscopic colostomy for chronic intestinal pseudo-obstruction: a case report and review of the literature eng 2007 author Bertolini David Ivano 55043 author De Saussure Philippe Pierre Hubert 32010 author Chilcott Michael John 36065 author Girardin Marc 105044 author Dumonceau Jean-Marc 565160 2255-2257 10.3748/wjg.v13.i15.2255 17465514 1007-9327 http://www.wjgnet.com/1007-9327/full/v13/i15/2255.htm Percutaneous endoscopic colostomy (PEC) is increasingly proposed as an alternative to surgery to treat various disorders, including acute colonic pseudo-obstruction, chronic intestinal pseudo-obstruction and relapsing sigmoid volvulus. We report on a severe complication that occurred two months after PEC placement. A 74-year-old man with a history of chronic intestinal pseudo-obstruction evolving since 8 years was readmitted to our hospital and received PEC to provide long-standing relief. The procedure was uneventful and greatly improved the patient's quality of life. Two months later, the patient developed acute stercoral peritonitis. At laparotomy, the colostomy flange was embedded in the abdominal wall but no pressure necrosis was found at the level of the colonic wall. This complication was likely related to inadvertent traction of the colostomy tube. Subtotal colectomy with terminal ileostomy was performed. We review the major features of 60 cases of PEC reported to date, including indications and complications. Aged Colonic Pseudo-Obstruction/surgery Colostomy/adverse effects/methods Endoscopy/adverse effects/methods Humans Male Peritonitis/diagnosis/etiology Time Factors Tomography, X-Ray Computed Dewey 616 Dewey 617 56 Département de médecine 221 57 Département de chirurgie 222 false 79 Chirurgie viscérale 104 1329 Chirurgie viscérale (HUG) World journal of gastroenterology 13 15 53a788b4-da21-4957-892c-3d02d364a358 Article (Published version) Public 2007_bertolini_world_j_gastroenterol.pdf 1249019 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de chirurgie

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Severe delayed complication after percutaneous endoscopic colostomy for chronic intestinal pseudo-obstruction: a case report and review of the literature	World journal of gastroenterology			2007	767	493

Archive ouverte UNIGE

Bertolini, David Ivano