Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2020; 8(16): 3608-3615
Published online Aug 26, 2020. doi: 10.12998/wjcc.v8.i16.3608
Delayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review
Ge-Yu-Jia Zhou, Jin-Long Hu, Sheng Wang, Nan Ge, Xiang Liu, Guo-Xin Wang, Si-Yu Sun, Jin-Tao Guo
Ge-Yu-Jia Zhou, Jin-Long Hu, Sheng Wang, Nan Ge, Xiang Liu, Guo-Xin Wang, Si-Yu Sun, Jin-Tao Guo, Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Zhou GYJ and Hu JL prepared the case and contributed to manuscript drafting; Zhou GYJ and Guo JT analyzed the case and reviewed the literature; Sun SY and Guo JT contributed to study concept and manuscript drafting; Wang S, Ge N, Liu X, and Wang GX contributed to manuscript revision for important intellectual content; all authors gave final approval for the version to be submitted.
Supported by Natural Science Foundation of Liaoning Province, No. 20170541024; and Shengjing Free Researcher Project Foundation, No. 201702.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Si-Yu Sun, MD, PhD, Chief Doctor, Director, Professor, Department of Gastroenterology, ShengJing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China. sunsy@sj-hospital.org
Received: April 8, 2020
Peer-review started: April 8, 2020
First decision: April 28, 2020
Revised: April 29, 2020
Accepted: July 14, 2020
Article in press: July 14, 2020
Published online: August 26, 2020
Processing time: 138 Days and 22.8 Hours
Core Tip

Core tip: We report a case in which delayed perforation occurred 15 h after colonic endoscopic resection of a laterally spreading tumor in the colonic hepatic curvature. Peritonitis aggravated progressively without macroscopic perforation and conservative treatment had no effect. Micro-perforation was successfully closed under endoscopy with clips to avoid worse complications and surgical intervention.