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Blondel Oumarou Nana et al
analgesics postoperatively and a better cosmetic result. But,
the main difficulty during laparoscopy may be to identify the
bleeding site. In our case, this location has been facilitate by
the coexistence of a preperforative injury. This is the first
time we realize a colonoscopy in our department for this
indication.

CONCLuSION
Bleeding is the most common complication of colonoscopic
polypectomy. The risk is related to the type and size of polyp,
the technique of polypectomy and the coagulation status of
the patient. In most cases, postpolypectomy bleeding can
be controlled endoscopically. Therefore, endoscopist should
Fig. 5: segmental colectomy piece be aware of various techniques of colonoscopic hemostasis.
But, in exceptional cases, as our one of the failure of endo­
scopic management, laparoscopy with segmental resection
can be an alternative.

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Fig. 6: Cosmetic result
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14
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