Bowel perforation after endoscopic submucosal dissection due to colon cancer and successful endoscopic treatment using an Ovesco clip

Abstract

An 83-year-old woman under intravenous anaesthesia underwent endoscopic submucosal dissection due to early well-differentiated colon cancer with no deep invasion (pT1). Wide perforation in the deep site of excision of the descending colon was identified and an Ovesco clip placed to close the defect. The patient was discharged from the hospital on day 4 after the procedure, with no abdominal pain and no peritoneal signs of inflammation. Follow-up CT and colonoscopy were performed after 6 months, and no recurrence was observed.

Perforation causing abdominal compartment syndrome after colonoscopic polypectomy: A case report

“…Colonoscopic perforation can be managed by conservative treatment, endoscopic clipping, and surgical intervention, including primary closure, bowel resection, and fecal diversion [10,11]. A previous case report has also revealed successful treatment with polyglycolic acid sheets and fibrin glue [12].…”