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Case Reports in Surgery
Volume 2015, Article ID 364576, 4 pages
Case Report

Conservative Management of Large Rectosigmoid Perforation under Peritoneal Reflection: Case Report and Review of the Literature

Department of General Surgery, Gaziosmanpasa University, Faculty of Medicine, 60150 Tokat, Turkey

Received 17 January 2015; Revised 9 March 2015; Accepted 25 March 2015

Academic Editor: Muthukumaran Rangarajan

Copyright © 2015 G. G. Akgul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Colonoscopy is accepted as the best method in diagnosis, treatment, and follow-up of colorectal diseases. As the amount of the usage of diagnostic and therapeutic colonoscopy rises, iatrogenic complications are more likely to be seen. The most important complications are perforations and bleeding. Whereas perforation is a complication that is seen rarely, because of the high ratio of morbidity and mortality, it should be analyzed more carefully. There is not a common view on the optimal treatment of colonoscopic perforation. Most cases require urgent surgery, and in some cases the iatrogenic perforation of colon can be managed by conservative methods. In this report, we present a rectosigmoid perforation under peritoneal reflection and conservative management of this case.