ArticleIl Giornale di chirurgia
Complication of endoscopic tattooing: a case report of covered perforation.
Article in Il Giornale di chirurgia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- The effect of different endoscopic tattooing doses in laparoscopic colorectal tumor surgery.Medicine · 2026Article
- Behind the Ink: Unmasking Asymptomatic Micro-perforations Following Endoscopic Tattooing.Cureus · 2025Article
- Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit.Il Giornale di chirurgiaArticle
- Deep SSI after mesh-mediated groin hernia repair: management and outcome in an Emergency Surgery Department.Il Giornale di chirurgiaArticle
- Multiparametric evaluation of risk factors associated to seroma formation in abdominal wall surgery.Il Giornale di chirurgiaArticle
- The abdominal wall incisional hernia repair in cirrhotic patients.Il Giornale di chirurgiaArticle
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Authors and funding
9 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimLaparoscopy is considered a good approach in treatment of colorectal neoplastic diseases; the endoscopic tattooing is then recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for intraoperative identification. We describe the case of perforation after tattoing treated conservatively. CASE REPORT: 63 years old woman, underwent colonoscopy for lipoma tattooing with India ink SPOT® solution kit and saline test. Immediately after the procedure the patient has been referred the appearance of colic epi-mesogastric pain and fever; Computed Tomography (CT) without MDC identified an irregular thickening of transverse colon with some microbubbles compatible with focal peritonitis. Initial paralytic ileus was present too. The blood count and metabolic panel examinations reveal a neutrophil leucocytosis (WBC: 11.000/mmc, 80% neutrophils).
resultsOn the base of WSES sepsis severity score and recent literature patient was treated conservatively with total parenteral nutrition, and intravenous antibiotic therapy. After the resolution of fever and reactivation of peristalsis. The discharge occurred after six days with no early complications.
conclusionIndia ink tattooing with SPOT® solution kit and saline test represent the first choice. It is a feasible technique although perforation is a possible complication. It may need an immediately surgical operation but in most cases a conservative management is a good and safe tool even if surgery may be attempted too.
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