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Contrast enema on postoperative day 5 showed perforation of the sigmoid colon around the tip of the tube, and emergency laparotomy was performed. Perforation of the posterior sigmoid colon located on the proximal side of the colorectal anastomosis at the level of the promontorium was identified. Closure of the perforation site, lavage drainage, and a diverting loop ileostomy were performed. Although a transanal decompression tube is useful in preventing anastomotic leakage, tube\u2010related colon perforation should be noted, and controversies about the safety of laparoscopically transanal decompression tube placement should be resolved. Adequate management for tube placement should be discussed.<\/jats:p>","DOI":"10.1111\/ases.13078","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T23:25:23Z","timestamp":1652916323000},"page":"820-823","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1765-7477","authenticated-orcid":false,"given":"Kentaro","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Hakodate Municipal Hospital  Hakodate Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Kasajima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Hakodate 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