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Case Reports
Delayed Perforation after Endoscopic Detachable Snare Ligation for Colonic Diverticular Hemorrhage.
- Takayuki Nagahashi, Koichi Hamada, Yoshinori Horikawa, Yoshiki Shiwa, Kae Techigawara, Daizo Fukushima, Noriyuki Nishino, Yukitoshi Todate, and Atsushi Irisawa.
- Department of Gastroenterology, Southern-Tohoku General Hospital, Japan.
- Intern. Med. 2023 Nov 1; 62 (21): 313731423137-3142.
AbstractA 74-year-old man was admitted to our hospital with severe hematochezia. Abdominal enhanced computed tomography (CT) demonstrated extravasation of contrast material from the descending colon. Colonoscopy revealed recent bleeding in the descending colon diverticulum. Bleeding was stopped using detachable snare ligation. Eight days later, the patient developed abdominalgia, and CT revealed free air caused by delayed perforation. The patient underwent emergency surgery. Perforation at the ligation site was detected using intraoperative colonoscopy. This report is the first to describe a case of delayed perforation after endoscopic detachable snare ligation for colonic diverticular hemorrhage.
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