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Updated: Oct 19, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Endoscopic management of colocolonic anastomotic dehiscence: a case report
Inês Rodrigues Simão1, Rui Mendo1, Pedro C Figueiredo1
1Gastroenterology Department, Unidade Local de Saúde Lisboa Ocidental, Hospital de Egas Moniz, Lisboa, Portugal.
Abstract:
We describe the case of a woman who developed a perianastomotic collection after colocolonic anastomosis for restoration of bowel continuity, consistent with an anastomotic dehiscence. Endoscopy revealed a stenotic anastomosis inaccessible to vacuum therapy. A fully endoscopic strategy was pursued, combining internal drainage of the collection with double-pigtail stents and treatment of the stenosis through balloon dilation. The patient showed a favorable course, with complete resolution on follow-up. This case underscores the feasibility, safety, and efficacy of endoscopic management of colocolonic anastomotic dehiscence, highlighting the importance of simultaneously addressing associated stenosis.
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