RESUMO
Rectal perforations due to topical treatments (enemas or foams) are unusual complications and they have been mostly reported in the use of barium enemas or in elderly patients with constipation. Very little has been reported about perforations secondary to topical treatment in patients with ulcerative colitis. We present the case of a patient with ulcerative colitis who suffered a rectal perforation complicated with a superinfected collection after the application of topical mesalazine foam.
Assuntos
Colite Ulcerativa , Perfuração Intestinal , Humanos , Idoso , Colite Ulcerativa/complicações , Colite Ulcerativa/tratamento farmacológico , Mesalamina/uso terapêutico , Enema/efeitos adversos , Perfuração Intestinal/induzido quimicamente , Doença Iatrogênica , Anti-Inflamatórios não Esteroides/uso terapêuticoAssuntos
Humanos , Constrição Patológica/etiologia , Perfuração Esofágica/diagnóstico por imagem , Perfuração Esofágica/etiologia , Perfuração Esofágica/terapia , Estenose Esofágica/diagnóstico por imagem , Estenose Esofágica/etiologia , Estenose Esofágica/terapia , Resultado do Tratamento , Dilatação/efeitos adversos , Doença Iatrogênica , Stents/efeitos adversosRESUMO
81 year-old male had an asymptomatic iatrogenic perforation after balloon dilation of esophageal strictures. After the migration of the full covered self expandable metal stent (FCSEMS), a lumen-apposing metal stent (LAMS) was placed and no esophageal leak was seen after. LAMS could be an appropiate first-line approach to benign short esophageal strictures complicated with iatrogenic small perforation but further prospective studies are needed.
