Target area for er resection: transverse colon, 2cm x 0.5cm scarred tissue bed total time for emergency room resection: 15min.Orientation of scar bed to scope: length of scar bed was east to west (3 > 9 o'clock on a face of a clock) physician noted a 'hole' in the colon tissue.Upon going back to 9 o'clock section to continue resecting, it was noted there was a 'hole' at 7-8 o'clock.Emergency room catheter was immediately removed from scope and 10 clips were used to close the 5-6mm perforation site 10 clips were used to close the perforation.Pt was stable.The antibiotics and ct had been ordered and patient was to be admitted for observation.
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