Enterocolonic fistula after endoscopic full-thickness resection of a peri-appendiceal orifice adenoma.

Gastrointest Endosc

The Center for Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Published: June 2020

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http://dx.doi.org/10.1016/j.gie.2020.01.041DOI Listing

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Article Synopsis
  • * A 66-year-old woman with cervical cancer experienced acute abdominal pain and was found to have an entero-colonic fistula, a rare complication of radiation therapy.
  • * Healthcare providers should consider bowel perforation in patients with a history of abdominal or pelvic cancer who have undergone radiotherapy and present with acute abdominal symptoms.
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BACKGROUND Endoscopic full-thickness resection represents an innovative procedure, used in selected patients that allows lesions en-bloc resection with an integral wall specimen available for histopathological definition. Bleeding and perforation are known to be the most frequent procedure-related adverse events. We report a case of entero-colonic fistula as complication of an endoscopic full-thickness resection.

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