Endoscopic repair of a colonic perforation following polypectomy using an endoclip: CASE PRESENTATION (Part 2)
X-ray (Figure 2) and computed tomography scan (Figure 3) performed within the next 3 h showed no leak. The patient was placed on intravenous hydration and cefoxitin for 24 h, followed by oral fluids and oral clavulin. She was transferred back to her referring hospital for ongoing medical care two days postoperatively, and continued on oral clavulin for seven days, with complete resolution of symptoms. Follow-up phone calls at one week and at three months were uneventful.
Figure 2) Abdominal x-ray showing no extravasation of contrast, following the procedure with endoclips
Figure 3) Computed tomography scan on bone window view, showing the endoclips with no leaking of the contrast
Colonic perforations are rare in association with good colon-scope technique . When diagnostic and therapeutic procedures such as large polypectomy and stricture dilatation result in long perforations, surgical repair or resection is usually advised. Conservative management may be preferable in selected cases where there is minimal fecal contamination . Broad-spectrum antibiotics and intravenous hydration form the mainstay of this therapy. Take advantage of this opportunity – buy cipro to enjoy lowest prices online.