{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:29:28Z","timestamp":1777728568458,"version":"3.51.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The effectiveness of transanal decompression tube (TDT) to prevent anastomotic leakage after rectal surgery has been widely accepted in recent years. However, a rare complication of intestinal perforation due to TDT has been also reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 88-year-old woman underwent laparoscopic low anterior resection for rectal cancer. An abdominal drainage tube adjacent to the colorectal anastomosis and a TDT were placed. The patient experienced abdominal pain, nausea and elevated inflammatory markers on postoperative day 6. Enema and computed tomography demonstrated colonic perforation due to the TDT, and emergency laparotomy was performed. Perforation of the anterior sigmoid colon located at the proximal side of the colorectal anastomosis was seen, and the TDT was exposed to the abdominal cavity. Therefore, primary closure of the perforation site, peritoneal lavage, drainage tube placement and transverse colostomy was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In our case, TDT seemed to compress the anterior wall of the colon and lead to perforation. The looseness of the remaining oral intestinal tract depressed in the pelvis was compressed by the TDT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TDTs should be very carefully placed to avoid complication. The length and looseness of the oral intestine and the relationship between the TDT to be inserted might be important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.02.026","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T04:17:45Z","timestamp":1612930665000},"page":"105640","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Colon perforation caused by transanal decompression tube after laparoscopic low anterior resection"],"prefix":"10.1097","volume":"80","author":[{"given":"Masatsugu","family":"Hiraki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiya","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichiro","family":"Okuyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kubo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osamu","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Kitahara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-57-20260114","doi-asserted-by":"crossref","first-page":"1843","DOI":"10.1007\/s00268-013-2428-4","article-title":"Effectiveness of a transanal tube for the prevention of anastomotic leakage after rectal cancer surgery","volume":"38","author":"Nishigori","year":"2014","journal-title":"World J. Surg"},{"key":"R2-57-20260114","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1007\/s00423-015-1336-5","article-title":"Impact of anal decompression on anastomotic leakage after low anterior resection for rectal cancer: a propensity score matching analysis","volume":"400","author":"Lee","year":"2015","journal-title":"Langenbecks Arch. Surg"},{"key":"R3-57-20260114","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.amsu.2016.01.003","article-title":"Transanal drainage tube reduces rate and severity of anastomotic leakage in patients with colorectal anastomosis: a case controlled study","volume":"6","author":"Brandl","year":"2016","journal-title":"Ann. Med. Surg. (Lond"},{"key":"R4-57-20260114","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1002\/jso.24760","article-title":"Multicenter analysis of transanal tube placement for prevention of anastomotic leak after low anterior resection","volume":"116","author":"Goto","year":"2017","journal-title":"J. Surg. Oncol"},{"key":"R5-57-20260114","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s00384-017-2952-z","article-title":"Impact of transanal drainage tube on anastomotic leakage after laparoscopic low anterior resection","volume":"33","author":"Kawada","year":"2018","journal-title":"Int. J. Colorectal Dis"},{"key":"R6-57-20260114","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1007\/s12029-019-00315-9","article-title":"Retrospective risk analysis for anastomotic leakage following laparoscopic rectal Cancer surgery in a single institute","volume":"51","author":"Hiraki","year":"2020","journal-title":"J. Gastrointest. Cancer"},{"key":"R7-57-20260114","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1186\/s12893-020-00811-x","article-title":"Effect comparison of three different types of transanal drainage tubes after anterior resection for rectal cancer","volume":"20","author":"Luo","year":"2020","journal-title":"BMC Surg"},{"key":"R8-57-20260114","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/ases.12314","article-title":"Safety and efficacy of a novel linear staple device with bioabsorbable polyglicolic acid felt in laparoscopic colorectal surgery","volume":"10","author":"Naito","year":"2017","journal-title":"Asian J. Endosc. Surg"},{"key":"R10-57-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R11-57-20260114","doi-asserted-by":"crossref","first-page":"260","DOI":"10.4174\/astr.2015.88.5.260","article-title":"Comparative study between transanal tube and loop ileostomy in low anterior resection for mid rectal cancer: a retrospective single center trial","volume":"88","author":"Kim","year":"2015","journal-title":"Ann. Surg. Treat. Res"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122100136X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122100136X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.02.026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:37:48Z","timestamp":1768397868000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.02.026"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2021.02.026","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}