Small bowel explosion: a complication of strictureplasty.
Explosion injury to the intestinal tract resulting from electrocautery is a rare occurrence. Only two small bowel explosions have been described previously. Here we describe an explosion of small bowel during strictureplasty in a patient with chronic obstructing Crohn's disease. Recommendations to avoid this disastrous complication include proximal decompression prior to incision and, in some cases, it may be wise to avoid electrocautery altogether.
Brown
T
T
Department of General Surgery, Fairview General Hospital, Cleveland, Ohio.
Church
J M
JM
D000328:Adult; D003251:Constriction, Pathologic / Q000601:surgery; D004564:Electrocoagulation / Q000009:adverse effects*; D005107:Explosions; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007415:Intestinal Obstruction / Q000150:complications / Q000601:surgery; D007421:Intestine, Small / Q000293:injuries* / Q000601:surgery; D008297:Male