Delayed bowel perforation after routine distal loopogram prior to ileostomy closure
Document Type
Article
Publication Date
1-1-2020
Abstract
Ultra-low anterior resection for low rectal cancer is usually done with a covering ileostomy as a safety measure to reduce the consequences of distal anastomotic failure. In many centres, distal loopogram is performed routinely, prior to the closure of the loop ileostomy, to assess the integrity of anastomosis. Distal loopogram is generally considered a safe procedure with very low complication rates, especially when water-soluble contrast is used. We report two cases of delayed bowel perforation which led to severe sepsis and generalized peritonitis after distal loopogram prior to ileostomy closure. Our cases highlight the potential dangers of distal loopogram. Therefore, the routine usage of this procedure should be scrutinized and the patient needs to be properly counselled prior to the procedure.
Keywords
Anastomosis leak, Bowel perforation, Distal loopogram, Ileostomy, Ultralow anterior resection
Divisions
surgerydept
Publication Title
Open Medicine
Volume
15
Issue
1
Publisher
De Gruyter Poland SP Z O O
Publisher Location
BOGUMILA ZUGA 32A STR, 01-811 WARSAW, MAZOVIA, POLAND