Widespread Subcutaneous Emphysema After an Endoscopic Submucosal Dissection (ESD): An Unusual Presentation of A Rare Complication

Perforation during rectal ESD is uncommon. Although, related complications could develop. Patient with a granular-mixed lateral spreading tumor(LST-G-M) of 50x50mm in the distal rectum. An ESD was performed.

ESD using CO2 insufflation with submucosal tunnel dissection was performed, although with some difficulties due to some areas with muscle retracting sign that required partial myotomy. En-bloc resection is achieved with partial closure of the scar with hemoclips.

Twenty-four hours after the procedure,a widespread subcutaneous emphysema is remarkably detected. There wasn’t respiratory compromise and a CT-scan showed no other complications. Conservative management was applied, and the emphysema self-limited within one week.

Citation: Luna D, Iborra I, Puig M et al. OP146V WIDESPREAD SUBCUTANEOUS EMPHYSEMA AFTER AN ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD): AN UNUSUAL PRESENTATION OF A RARE COMPLICATION. Endoscopy 2021; 53: S60.

Publication History

Article published online:
19 March 2021