Year: 2018
Type: article
Study design: Case Report
Abstract: An 85-year-old man with a normal hepatic function was referred to undergo endoscopic treatment for a lateral spreading tumor in the cecum (Picture 1).The lesion measured 37 mm in diameter and was removed en bloc with endoscopic submucosal dissection (ESD) using carbon dioxide insufflation.The lesion showed no involvement of any mature visible penetrating vessels.The procedure took 72 minutes and was performed without any adverse events, including perforation (Picture 2).The following day, transaminases were dramatically elevated (aspartate aminotransferase 1,541 U/L and alanine aminotransferase 629 U/L), and the inflammatory response was slightly elevated (white blood cells, 5,780/μL and C-reactive protein, 3.23 mg/dL).Computed tomography (CT) revealed the presence of hepatic portal venous gas (HPVG) with no evidence of free air (Picture 3).The patient was carefully observed and prescribed antibiotics.The transaminase levels normalized within a few days, and follow-up CT was not performed.
Source: Internal Medicine
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2896469867