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CC BY-NC-ND 4.0 · Journal of Coloproctology 2017; 37(04): 323-327
DOI: 10.1016/j.jcol.2017.06.007
Case Report

Retroperitoneal abscess after transanal minimally invasive surgery: case report and review of literature

Abscesso retroperitoneal após cirurgia de ressecção transanal minimamente invasiva: relato de caso clínico e revisão a literatura médica
Aaron Raney
b   Des Moines University, Des Moines, United States
,
Shankar Raman
a   Mercy Surgical Affiliates, Des Moines, United States
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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.

Resumo

Os abscessos são uma complicação rara da cirurgia de ressecção transanal minimamente invasiva (TAMIS) e da micro cirurgia endoscópica transanal (TEMS). Os casos notificados foram nas áreas rectal e pré-sacral e foram administrados com antibióticos isoladamente ou em conjunto com laparotomia e desvio de colostomia. Relatamos um caso de grande abscesso retroperitoneal após uma excisão de pólipo retal de espessura total TAMIS. O paciente foi tratado com sucesso com a administração de antibióticos e drenagem percutânea. Para prevenir mais morbidade é necessária incluir a infecção retroperitoneal no diagnostico diferencial após um procedimento TAMIS onde a apresentação pode ser insidiosa e a intervenção atempada.

Keywords

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

Palavras-chave

Cirurgia colorretal - Cirurgia de ressecção transanal minimamente invasiva (TAMIS) - Abscesso retroperitoneal - Cirurgia endoscópica transluminal de orifício natural (NOTES) - Cirurgia laparoscópica de único local (SILS) - Oncologia cirúrgica


Publication History

Received: 02 April 2017

Accepted: 19 June 2017

Article published online:
17 February 2021

© 2017. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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