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Bruno Augusto Alves Martins,Marcelo de Melo Andrade Coura,Romulo Medeiros de Almeida,Natascha Mourão Moreira,João Batista de Sousa,Paulo Gonçalves de Oliveira 대한대장항문학회 2017 Annals of Coloproctolgy Vol.33 No.3
Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.