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Chen FZ, Ouyang L, Zhong XL, Li JX, Zhou YY. Postpolypectomy syndrome without abdominal pain led to sepsis/septic shock and gastrointestinal bleeding: A case report. World J Gastrointest Surg 2023; 15(10): 2343-2350 [PMID: 37969719 DOI: 10.4240/wjgs.v15.i10.2343]
World J Gastrointest Surg. Oct 27, 2023; 15(10): 2343-2350 Published online Oct 27, 2023. doi: 10.4240/wjgs.v15.i10.2343
Postpolypectomy syndrome without abdominal pain led to sepsis/septic shock and gastrointestinal bleeding: A case report
Fang-Zhi Chen, Lin Ouyang, Xiao-Li Zhong, Jin-Xiu Li, Yan-Yan Zhou
Fang-Zhi Chen, Department of Gastroenterology, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang 421001, Hunan Province, China
Lin Ouyang, Xiao-Li Zhong, Jin-Xiu Li, Yan-Yan Zhou, Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China
Author contributions: Chen FZ and Zhou YY prepared the manuscript; Zhou YY, Ouyang L, and Zhong XL contributed to the clinical observations, material preparation, and image collection; Ouyang L and Zhong XL interpreted the laboratory results and computed tomography images; Chen FZ, Li JX and Zhou YY reviewed the manuscript; all authors contributed to the study conception and design and read and approved the final manuscript.
Supported bythe Scientific Research Project of the Natural Science Foundation of Changsha, No. kq2202413.
Informed consent statement: We obtained the patient's written informed consent to disclose his case. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understand that his name will not be published, and due efforts will be made to conceal his identity.
Conflict-of-interest statement: All authors declare no competing financial interests for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Yan-Yan Zhou, MD, PhD, Attending Doctor, Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Changsha 410011, Hunan Province, China. iamzhouyanyan@csu.edu.cn
Received: July 20, 2023 Peer-review started: July 20, 2023 First decision: August 5, 2023 Revised: August 15, 2023 Accepted: September 5, 2023 Article in press: September 5, 2023 Published online: October 27, 2023 Processing time: 99 Days and 0.5 Hours
Core Tip
Core Tip: Postpolypectomy syndrome (PPS) is a rare postoperative complication of colonic polypectomy. The prognosis is usually good, and it is characterized by abdominal pain, fever, inflammatory markers, and abnormal coagulation. We report a 58-year-old man who developed life-threatening sepsis or septic shock and gastrointestinal bleeding after colonic polypectomy. Except for the absence of abdominal pain, the patient presented with characteristic PPS symptoms of fever, significant coagulation abnormalities, and elevated inflammatory markers. Final blood culture indicated Moraxella osloensis. This case implies that abdominal pain is not a necessary symptom of PPS, and PPS without abdominal pain may progress to life-threatening sepsis and bleeding.
