Severe delayed complication after percutaneous endoscopic colostomy for chronic intestinal pseudo-obstruction: A case report and review of the literature

Figure 1 CT-scan showing massive distension of the colon (but not of the small intestine).

Figure 2 Endoscopic view of the left colon. A 19-gauge needle grasped with an endoscopic snare (arrow) serves to hold the colon close to the abdominal wall while a string is passed through a Seldinger needle (arrowhead) to allow for transanal insertion of the colostomy tube.

Figure 3 CT-scan showing the colostomy tube in place (arrow) and a normal-appearing colon.

Figure 4 Abdominal plain X-ray showing a massive pneumoperitoneum.