Image Tag: Perforation

CD perforation during IOC

In spite of the fact that IOC may help us to find CBD stones and clarify the exact anatomy, it may cause some complications like cystic duct perforation. It may cause post operative biloma if not diagnose intra-operatively.

Small bowel perforation secondary to chicken wishbone

Small bowel perforation secondary to swallowing a complete chicken wishbone. Small bowel enterotomy repaired laparoscopically with simple stitches on a two layer fashion.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy. Intracorporeal suturing of mucosal perforation.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy. A mucosal perforation was done during myotomy.

Achalasia

Image obtained during Laparoscopic Heller`s Cardiomyotomy.

Formation of loops in the colon

A. Formation of loops in the colon can cause patient discomfort, difficulty in advancing the scope, and may increase the risk of perforation. B. Here an alpha loop has been formed in the sigmoid colon, facilitating passage into the descending colon. Clock

Minor Tip Deflection with gentle advancement

A. Minor tip deflection with gentle advancement and mild torsion allows the endoscope to traverse bends while maintaining a gentle curve. B. Sharp angulation of the tip (like a candy cane) hinders advancement and may result in paradoxical motion, where th

Dilator through the abdominal wall and into lumen

Passing one of the dilators through the abdominal wall and into the lumen of the jejunum. Care is taken to pass the dilator just into the lumen of the bowel (under visual laparoscopic control), not far enough to risk posterior intestinal wall perforation.

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