Acessibilidade / Reportar erro

Retroperitoneal abscess after transanal minimally invasive surgery: case report and review of literature Paper developed at Mercy Medical Center, Department of Surgery, Des Moines, United States.

Abscesso retroperitoneal após cirurgia de ressecção transanal minimamente invasiva: relato de caso clínico e revisão a literatura médica

ABSTRACT

Abscesses are a rare complication of transanal minimally invasive surgery and transanal endoscopic micro surgery. Reported cases have been in the rectal and pre-sacral areas and have been managed with either antibiotics alone or in conjunction with laparotomy and diverting colostomy. We report a case of a large retroperitoneal abscess following a Transanal minimally invasive surgery full thickness rectal polyp excision. The patient was successfully managed conservatively with antibiotics and a percutaneous drain. Retroperitoneal infection should be included in a differential diagnosis following a Transanal minimally invasive surgery procedure as the presentation can be insidious and timely intervention is needed to prevent further morbidity.

Keywords:
Colorectal surgery; Transanal minimally invasive surgery (TAMIS); Retroperitoneal abscess; Natural orifice transluminal endoscopic surgery (NOTES); Single-site laparoscopic surgery (SILS); Surgical oncology

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