Deshpande, "Peritoneal drainage versus laparotomy as initial surgical treatment for perforated necrotizing enterocolitis or spontaneous
intestinal perforation in preterm low birth weight infants," Cochrane Database of Systematic Reviews, 2011.
Even in Japan, colorectal ESD is considered to be a difficult method, and
intestinal perforations range between 1 to 10% in experienced hands [12-14].
Yildiz et al., "Multiple
intestinal perforation in a patient with Wegener's granulomatosis: a case report and review of the literature," Gastroenterologie Clinique et Biologique, vol.
Ascaris lumbricoides and
intestinal perforation. Br J Surg 1987;74:643-4.
Intestinal perforation by a foreign body: diagnostic usefulness of ultrasonography.
On the sixth postoperative day, patient underwent abdominal surgery via median laparotomy due to massive dilatation of intestinal structure and radiological findings of
intestinal perforation with more than six gas-fluid levels all over the abdomen (Fig.
In the case illustrated here the presentation clinically mimicked an
intestinal perforation. The etiology was diagnosed only intraoperatively.
Laparotomy showed multiple lesions and
intestinal perforation at the ascending and first part of the transverse colon, with a large amount of purulent fluid in the peritoneal cavity.
Among HD group, 4 (7.4%) patients suffered
intestinal perforation (3 caecal and 1 ileal), 2 (3.9%) came with imperforate anus and 2 (3.9%) with anal stenosis, 2 (3.9%) were diagnosed as Down's synd- rome and one (2%) had mental motor delay.
Tumors may result in
intestinal perforation and fever, lethargy, and anorexia due to septic peritonitis [21].
Tumour of the bowel may present with
intestinal perforation or obstruction.
A provisional diagnosis of
intestinal perforation was made and an urgent laparotomy was performed.