Gianom D, Hollinger A, Wirth H P
Chirurgische Klinik, Kreisspital Männedorf.
Swiss Surg. 2003;9(6):307-10. doi: 10.1024/1023-9332.9.6.307.
Since the ability to palpate the bowel is lost in laparoscopic colon surgery preoperative marking of lesions is required to avoid "blind" resection. Endoscopic tattooing with India ink is the agent of choice because of its simplicity and the long-lasting stain. Only few complications have been reported using this technique. We present a case with localized necrosis and retroperitoneal perforation after endoscopic tattooing. Due to the formation of a local inflammatoric pseudotumor laparoscopic resection was impossible and open right hemicolectomy was necessary. Fever, abdominal pain and signs of local peritonitis after endoscopic tattooing should remind clinicians of this rare complication.
由于在腹腔镜结肠手术中无法触诊肠道，因此需要对病变进行术前标记以避免“盲目”切除。使用印度墨水进行内镜纹身是首选方法，因为它操作简单且染色持久。使用该技术仅报道了少数并发症。我们报告一例内镜纹身术后出现局部坏死和腹膜后穿孔的病例。由于形成了局部炎性假肿瘤，无法进行腹腔镜切除，因此需要行开放性右半结肠切除术。内镜纹身后出现发热、腹痛和局部腹膜炎体征应提醒临床医生注意这种罕见的并发症。
