Department of General Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2011 Dec;52(12):e248-50.
We report the case of a woman with a history of abdominoperineal resection for cancer, who had an inadvertent perforation during screening computed tomographic colonography performed via end colostomy. Revision of the stoma was promptly performed, which prevented a full laparotomy. We reviewed the literature on the subject and found that such perforations may be more common than previously thought. With appropriate precautions, such occurrences can be minimised in the future.
我们报告了一例有直肠癌腹会阴联合切除术病史的女性患者,她在通过乙状结肠造口术进行的筛查性 CT 结肠成像检查中发生了意外穿孔。及时进行了造口修复,避免了全腹腔镜手术。我们回顾了该主题的文献,发现此类穿孔可能比以前认为的更为常见。通过适当的预防措施,此类情况在未来可以最小化。