Abstract
| Lingua originale | English |
|---|---|
| pagine (da-a) | 74-78 |
| Numero di pagine | 5 |
| Rivista | IL GIORNALE DI CHIRURGIA |
| Volume | 37 |
| Stato di pubblicazione | Published - 2016 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Complication of endoscopic tattooing: A case report of covered perforation. / Scerrino, G.
In: IL GIORNALE DI CHIRURGIA, Vol. 37, 2016, pag. 74-78.Risultato della ricerca: Article
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TY - JOUR
T1 - Complication of endoscopic tattooing: A case report of covered perforation
AU - Scerrino, G.
AU - Gulotta, Gaspare
AU - Salamone, Giuseppe
AU - Melfa, Giuseppina Irene
AU - Mascolino, Alice
AU - Tutino, Roberta
AU - Fontana, Tommaso
AU - Licari, Leo
AU - Falco, Nicolo'
AU - Raspanti, Cristina
PY - 2016
Y1 - 2016
N2 - Aim: Laparoscopy is considered a good approach in treatment of colorectal neoplastic diseases; the endoscopic tattooing is then recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for intraoperative identification. We describe the case of perforation after tattoing treated conservatively. Case report: 63 years old woman, underwent colonoscopy for lipoma tattooing with India ink SPOT® solution kit and saline test. Immediately after the procedure the patient has been referred the appearance of colic epi-mesogastric pain and fever; Computed Tomography (CT) without MDC identified an irregular thickening of transverse colon with some microbubbles compatible with focal peritonitis. Initial paralytic ileus was present too. The blood count and metabolic panel examinations reveal a neutrophil leucocytosis (WBC: 11.000/mmc, 80% neutrophils). Results: On the base of WSES sepsis severity score and recent literature patient was treated conservatively with total parenteral nutrition, and intravenous antibiotic therapy. After the resolution of fever and reactivation of peristalsis. The discharge occurred after six days with no early complications. Conclusion: India ink tattooing with SPOT® solution kit and saline test represent the first choice. It is a feasible technique although perforation is a possible complication. It may need an immediately surgical operation but in most cases a conservative management is a good and safe tool even if surgery may be attempted too.
AB - Aim: Laparoscopy is considered a good approach in treatment of colorectal neoplastic diseases; the endoscopic tattooing is then recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for intraoperative identification. We describe the case of perforation after tattoing treated conservatively. Case report: 63 years old woman, underwent colonoscopy for lipoma tattooing with India ink SPOT® solution kit and saline test. Immediately after the procedure the patient has been referred the appearance of colic epi-mesogastric pain and fever; Computed Tomography (CT) without MDC identified an irregular thickening of transverse colon with some microbubbles compatible with focal peritonitis. Initial paralytic ileus was present too. The blood count and metabolic panel examinations reveal a neutrophil leucocytosis (WBC: 11.000/mmc, 80% neutrophils). Results: On the base of WSES sepsis severity score and recent literature patient was treated conservatively with total parenteral nutrition, and intravenous antibiotic therapy. After the resolution of fever and reactivation of peristalsis. The discharge occurred after six days with no early complications. Conclusion: India ink tattooing with SPOT® solution kit and saline test represent the first choice. It is a feasible technique although perforation is a possible complication. It may need an immediately surgical operation but in most cases a conservative management is a good and safe tool even if surgery may be attempted too.
UR - http://hdl.handle.net/10447/216527
UR - http://www.giornalechirurgia.it/common/php/portiere.php?ID=29c0ac19688e7ec82910198b368ea0e1
M3 - Article
VL - 37
SP - 74
EP - 78
JO - Giornale di Chirurgia
JF - Giornale di Chirurgia
SN - 0391-9005
ER -