Annali italiani di chirurgia · 2016
Pneumoretroperitoneum and pneumomediastinum after Stapled Anopexy Is conservative treatment possible?
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Macchini Daniele, Guttadauro Angelo, Frassani Silvia, Maternini Matteo, Gabrielli Francesco
Аннотация
INTRODUCTION: Stapled anopexy is considered the gold standard in treating haemorroidal disease associated to mucosal prolapse, but severe complications have been described. Among these, a minimal anastomotic leakage may lead to gas spreading into surrounding soft tissues.
CASE REPORT: We report the case of a 61 year old male who developed pneumoretroperitoneum and pneumomediastinun two days after a Stapled Anopexy. CT scans showed a minimal leakage with no abscess. The patient was successfully treated by bowel rest, antibiotics and total parenteral nutrition, avoiding surgical approach.
CONCLUSION: A minimal anastomotic leakage following Stapled Anopexy, when leading to air diffusion into soft tissues and not associated to abscess or peritonitis may be treated conservatively avoiding ileostomy or colostomy.
KEY WORDS: Anastomotic leakage, Pneumoretroperitoneum, Stapled Anopexy.
CASE REPORT: We report the case of a 61 year old male who developed pneumoretroperitoneum and pneumomediastinun two days after a Stapled Anopexy. CT scans showed a minimal leakage with no abscess. The patient was successfully treated by bowel rest, antibiotics and total parenteral nutrition, avoiding surgical approach.
CONCLUSION: A minimal anastomotic leakage following Stapled Anopexy, when leading to air diffusion into soft tissues and not associated to abscess or peritonitis may be treated conservatively avoiding ileostomy or colostomy.
KEY WORDS: Anastomotic leakage, Pneumoretroperitoneum, Stapled Anopexy.
Предметные рубрики MeSH
Anastomotic LeakAnti-Bacterial AgentsCombined Modality TherapyConservative TreatmentHemorrhoidsHumansMaleMediastinal EmphysemaMetronidazoleMiddle AgedParenteral Nutrition, TotalPenicillanic AcidPiperacillinPiperacillin, Tazobactam Drug CombinationPostoperative ComplicationsRetropneumoperitoneumSurgical StaplingTomography, X-Ray Computed