A 56-year-old woman underwent colonoscopy for colorectal cancer surveillance. At a difficult rectosigmoid turn, a 1.5-cm perforation developed, but application of two endoscopic clips (HX-610-090L, Olympus, Tokyo, Japan) failed to close the perforation because of the awkward angle (●" Fig.1). A banding device (MBL-6, Wilson-Cook, Winston-Salem, North Carolina, USA) loaded on a gastroscope was t...

Gastrointestinal perforations are rare, but severe, complications in endoscopic procedures and they have traditionally been treated through surgery. Endoscopic perforation treatment has been achieved through the use of clips. However, all clips have limitations with respect to the amount of tissue they can hold together, the number of clips that can be used, and their usefulness in inflamed tis...

Gastrointestinal perforations are rare, but severe, complications in endoscopic procedures and they have traditionally been treated through surgery. Endoscopic perforation treatment has been achieved through the use of clips. However, all clips have limitations with respect to the amount of tissue they can hold together, the number of clips that can be used, and their usefulness in inflamed tis...

Endometriosis infiltrating the bowel can be treated medically in accurately selected women not seeking conception and without overt obstructive symptomatology. When rectosigmoid junction is involved, probabilities of intestinal symptoms relief, undergoing surgery after treatment failure, developing obstruction during hormonal are around 70%, 10%, 1–2%, respectively. lesion infiltrates exclusive...

A 67 year old man with myelodysplasia was admitted as an emergency with a six week history of rectal bleeding and diarrhoea. Barium enema showed an irregular polypoid filling defect in the lateral wall of the proximal rectum near the rectosigmoid junction. Histology showed this to be a granulocytic sarcoma (extramedullary granulocytic leukaemia; chloroma) infiltrating the bowel. A low index of ...

thickened wall of the distal sigmoid colon, an ileosigmoid fistula (Fig. A), and lymphadenopathy in the abdomen and pelvis with a maximum measurement of 4.0×2.6 cm. Barium enema revealed the two paths around the rectosigmoid junction. One was the usual sigmoid colon with remarkable mucosal abnormalities. The other was the ileosigmoid fistula Question: A 43-year-old man presented with diarrhea a...

Skin necrosis is a rare but serious complication of subcutaneously administered low-molecular-weight heparin. We report a case of a 53-year-old female patient with skin necrosis induced by subcutaneous administration of nadroparine. The patient suffered from essential thrombocythaemia on a background of chronic myeloproliferative disease. She was admitted to our clinic with a subacute ileus due...

We describe a case of lower abdominal pain caused by a twig tea impaction at the rectosigmoid junction after inadvertent ingestion. The foreign body was detected and successfully dislodged from the colonic wall with grasping forceps during colonoscopy. The post-procedural course was uneventful, and the patient was discharged 10 days after the removal. Colonic injury, including perforation due t...

Toothpick ingestion is implicated in gut injuries which may cause severe complications, mimicking diseases causing acute abdomen. However, toothpick ingestion-related perforation may also cause mild, non-specific gastrointestinal symptoms without significant findings or major complications. We describe a young male with chronic postprandial lower abdominal pain caused by a toothpick impaction a...