Abstract
When surgical polypectomy and not segmental resection is planned, preoperative endoscopic tattooing with high‐volume undiluted methylene blue should be avoided as it can result in colon perforation.
Highlights
Saline) and Spot (5‐mL sterile vials, ready to use)
Methylene blue is less useful with regard to ease of use, safety, and efficacy.[1]
Reactions especially to high‐volume, low‐dilution MB include mucosal or transmural ischemic ulceration and necrosis resulting in colonic wall abscess, perforation, and peritonitis, as in our patient's case.[2]
Summary
Saline) and Spot (5‐mL sterile vials, ready to use). Methylene blue is less useful with regard to ease of use, safety, and efficacy.[1] Early reactions especially to high‐volume, low‐dilution MB include mucosal or transmural ischemic ulceration and necrosis resulting in colonic wall abscess, perforation, and peritonitis, as in our patient's case.2
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