Delayed bowel perforation after routine distal loopogram prior to ileostomy closure

Poh, Keat Seong and Hoh, Siew Yep and Abdul Aziz, Mohamed Rezal and Chong, Shun Siang and Roslani, April Camilla (2020) Delayed bowel perforation after routine distal loopogram prior to ileostomy closure. Open Medicine, 15 (1). pp. 261-265. ISSN 2391-5463, DOI

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Ultra-low anterior resection for low rectal cancer is usually done with a covering ileostomy as a safety measure to reduce the consequences of distal anastomotic failure. In many centres, distal loopogram is performed routinely, prior to the closure of the loop ileostomy, to assess the integrity of anastomosis. Distal loopogram is generally considered a safe procedure with very low complication rates, especially when water-soluble contrast is used. We report two cases of delayed bowel perforation which led to severe sepsis and generalized peritonitis after distal loopogram prior to ileostomy closure. Our cases highlight the potential dangers of distal loopogram. Therefore, the routine usage of this procedure should be scrutinized and the patient needs to be properly counselled prior to the procedure.

Item Type: Article
Uncontrolled Keywords: Anastomosis leak; Bowel perforation; Distal loopogram; Ileostomy; Ultralow anterior resection
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine > Surgery Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 23 Jun 2023 06:56
Last Modified: 23 Jun 2023 06:56

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