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- W2553520325 abstract "Stapled anopexy is considered the gold standard in treating haemorroidal disease associated to mucosal prolapse, but severe complications have been described. Among these, a minimal anastomotic leakage may lead to gas spreading into surrounding soft tissues.We report the case of a 61 year old male who developed pneumoretroperitoneum and pneumomediastinun two days after a Stapled Anopexy. CT scans showed a minimal leakage with no abscess. The patient was successfully treated by bowel rest, antibiotics and total parenteral nutrition, avoiding surgical approach.A minimal anastomotic leakage following Stapled Anopexy, when leading to air diffusion into soft tissues and not associated to abscess or peritonitis may be treated conservatively avoiding ileostomy or colostomy.Anastomotic leakage, Pneumoretroperitoneum, Stapled Anopexy.La stapled anopexy è considerata il gold standard nel trattamento della malattia emorroidaria associata a prolasso mucoso. In letteratura sono state descritte gravi complicanze. Tra queste, una minimo leakage anastomotico può portare ad un retropneumoperitoneo e alla sepsi grave. Generalmente questi sono casi in cui il chirurgo opta per il confezionamento di una stomia escludente (associato eventualmente al drenaggio di eventuali ascessi). Tuttavia in alcuni casi è possibile una gestione conservativa. In questo lavoro, riportiamo il caso di un un uomo di 61 anni che ha sviluppato pneumoperitoneo e pneumomediastino due giorni dopo una mucoprolassectomia. Il paziente è stato trattato con successo mediante digiuno, antibioticoterapia e nutrizione parenterale totale, evitando un approccio chirurgico. Il caso clinico è corredato da una revisione della letteratura precedente che riporta come siano pochissimi i casi simili già descritti." @default.
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- W2553520325 date "2016-01-01" @default.
- W2553520325 modified "2023-09-23" @default.
- W2553520325 title "Pneumoretroperitoneum and pneumomediastinum after Stapled Anopexy Is conservative treatment possible?" @default.
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