Amada H, Bhattacharya P, Thompson C V, George A T
Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
Ann R Coll Surg Engl. 2020 May;102(5):e100-e101. doi: 10.1308/rcsann.2020.0026. Epub 2020 Mar 11.
Anastomotic dehiscence following colonoscopy for routine surveillance after anterior resection for colorectal cancer is unreported in the English literature. It is a potentially fatal complication requiring awareness, quick recognition and management. We present the case of a 45-year-old woman who presented 12 hours after a routine follow-up colonoscopy with peritonitis due to anastomotic rupture diagnosed on computed tomography. The patient was taken to theatre for emergency laparotomy and formation of an end colostomy. Her postoperative recovery and follow-up were optimal.
在结直肠癌前切除术后进行常规监测的结肠镜检查后发生吻合口裂开的情况，英文文献中未见报道。这是一种潜在的致命并发症，需要引起重视、快速识别并进行处理。我们报告一例45岁女性病例，该患者在常规随访结肠镜检查12小时后因吻合口破裂导致腹膜炎，通过计算机断层扫描确诊。患者被送往手术室进行急诊剖腹手术并形成末端结肠造口术。她术后恢复良好且随访情况理想。
