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Minimally Invasive Management of Colonoscopic Perforation at Polypectomy
Colin Peirce^*, Huriye Hande Aydinli, Emre Gorgun, Luca Stocchi
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

Iatrogenic colonic perforation often necessitates laparotomy.Minimally invasive surgery is a vital tool for the colorectal surgeon in both the elective and emergency setting.A 69 year old gentleman who presented with abdominal pain and a CT proven pneumoperitoneum after a complex colon polypectomy.He had significant medical comorbidities with a right nephrectomy as a child for Wilm’s tm.After laparoscopic adhesiolysis,the colonic defect identified and primary laparoscopic repair with sutured omentopexy performed.The patient resumed diet and was discharged on the 3^rd postoperative day.Laparoscopy offers surgeons and patients the opportunity to avoid a laparotomy and possible bowel resection.

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