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- Fatal Necrotizing Fasciitis Following Uncomplicated Colonoscopic Polypectomy: A Case Report
- Min Kyu Chae, Sang Youn Shin, Min Seob Kwak, Jin Young Yoon, Ha Il Kim, Jae Myung Cha
- Clin Endosc 2021;54(2):280-284. Published online December 11, 2020
- DOI: https://doi.org/10.5946/ce.2020.117
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Abstract
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ePub - Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may develop in healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopic polypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining of abdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. After a diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgical debridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organ failure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF develops sepsis after colonoscopic polypectomy.
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- Gastrocolocutaneous Fistula: An Unusual Case of Gastrostomy Tube Malfunction with Diarrhea
- Junghwan Lee, Jinyoung Kim, Ha il Kim, Chung Ryul Oh, Sungim Choi, Soomin Noh, Hee Kyong Na, Hwoon-Yong Jung
- Clin Endosc 2018;51(2):196-200. Published online August 31, 2017
- DOI: https://doi.org/10.5946/ce.2017.062
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Abstract
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- A gastrocolocutaneous fistula is a rare complication of percutaneous endoscopic gastrostomy (PEG). We report a case of a gastrocolocutaneous fistula presenting with intractable diarrhea and gastrostomy tube malfunction. A 62-year-old woman with a history of multiple system atrophy was referred to us because of PEG tube malfunction. Twenty days prior to presentation, the patient started developing sudden diarrhea within minutes after starting PEG feeding. Fluoroscopy revealed that the balloon of the PEG tube was located in the lumen of the transverse colon with the contrast material filling the colon. Subsequently, the PEG tube was removed and the opening of the gastric site was endoscopically closed using hemoclips. Clinicians should be aware of gastrocolocutaneous fistula as one of the complications of PEG insertion. Sudden onset of diarrhea, immediately after PEG feedings, might suggest this complication, which can be effectively treated with endoscopic closure.
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Citations
Citations to this article as recorded by
- A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube
Maria Elena Pugliese, Riccardo Battaglia, Antonio Cerasa, Lucia Francesca Lucca
Healthcare.2023; 11(9): 1263. CrossRef - An unusual complication of percutaneous endoscopic gastrostomy and its endoscopic treatment
Noble Thomas, Cherukara Philip Thomas, C. Ganesh Pai
Indian Journal of Gastroenterology.2023; 42(4): 580. CrossRef - How far is the endoscopist to blame for a percutaneous endoscopic gastrostomy complication?
George Stavrou, Persefoni Gionga, George Chatziantoniou, Georgios Tzikos, Alexandra Menni, Stavros Panidis, Anne Shrewsbury, Katerina Kotzampassi
World Journal of Gastrointestinal Surgery.2023; 15(5): 940. CrossRef - Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication
David Viso Vidal, Francisco Jorquera Plaza
Revista Española de Enfermedades Digestivas.2022;[Epub] CrossRef - Endoscopic management of enteral tubes in adult patients – Part 2: Peri- and post-procedural management. European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Paraskevas Gkolfakis, Marianna Arvanitakis, Edward J. Despott, Asuncion Ballarin, Torsten Beyna, Kurt Boeykens, Peter Elbe, Ingrid Gisbertz, Alice Hoyois, Ofelia Mosteanu, David S. Sanders, Peter T. Schmidt, Stéphane M. Schneider, Jeanin E. van Hooft
Endoscopy.2021; 53(02): 178. CrossRef - Een laattijdige complicatie na het plaatsen van een PEG-sonde
H. DEDECKER, T. STEINHAUSER, S. BOUHADAN, O. PETERS, A. BEUNIS
Tijdschrift voor Geneeskunde.2021;[Epub] CrossRef - Complex gastro-colo-cutaneous fistula secondary to a gunshot injury, management and literature review
Maha Al Shaibi, Mohamed Al Abri, Ghaitha Al Mahruqi, Alok Mittal
Trauma Case Reports.2020; 28: 100313. CrossRef - Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion
Matthew Warner, Muhammad Durrani
Clinical Practice and Cases in Emergency Medicine.2020; 4(4): 632. CrossRef - Rectal Bleeding after Insertion of a Percutaneous Endoscopic Gastrostomy Tube
Ghadeer Alhazmi, Mroj Alsabri, Shahad Alsuwat, Adnan Al-Zangabi, Abdulaziz Al-Zahrani, Mohammed Kareemulla Shariff
Case Reports in Gastroenterology.2020; 14(3): 637. CrossRef - Long-Term Gastrocolocutaneous Fistula after Endoscopic Gastrostomy: How Concerned Should We Be?
Gonçalo Nunes, Gabriel Paiva de Oliveira, João Cruz, Carla Adriana Santos, Jorge Fonseca
GE - Portuguese Journal of Gastroenterology.2019; 26(6): 441. CrossRef - Update on endoscopic enteral access
Kamthorn Yolsuriyanwong, Bipan Chand
Techniques in Gastrointestinal Endoscopy.2018; 20(4): 172. CrossRef
- A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube
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