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Colonic abscess induced by India ink tattooing
Chang Seok Bang1, Yeon Soo Kim, Gwang Ho Baik
1Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, 77 Sakju-ro, Chuncheon 200-704, Korea.
Summary
Endoscopic tattooing with India ink, while common for cancer localization, carries risks. A case study revealed an ink abscess, highlighting potential infection and inflammation complications.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Endoscopic tattooing with India ink is a widely used technique for marking gastrointestinal lesions, aiding in surgical localization.
- The procedure is generally considered safe, but rare complications have been documented.
Observation:
- A 60-year-old male patient with sigmoid colon cancer underwent India ink tattooing for intraoperative localization.
- During laparoscopic surgery, the tattooed area exhibited significant edema and a bluish discoloration.
- Histological examination revealed an ink abscess extending above the muscularis propria.
Findings:
- The case demonstrated a complication of India ink tattooing, specifically an ink abscess.
- This complication necessitated extending the surgical resection margin due to extensive mucosal edema.
Implications:
- This case underscores the potential for infection and inflammation associated with endoscopic tattooing, despite its general safety.
- Awareness of these risks is crucial for surgeons and endoscopists when utilizing India ink for lesion marking.
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