Pneumothorax, Pneumomediastinum, Subcutaneous Emphysema, Pneumoretroperitoneum Secondary to Colonoscopic Perforation / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 38-42, 2011.
Article
in Korean
| WPRIM
| ID: wpr-38831
ABSTRACT
A colonoscopic perforation is rare but can cause a fatal outcome. A perforation can be intraperitoneal or retroperitoneal. Air in the retroperitoneal space by perforation can spread to the mediastinum, pleura, and subcutaneous tissue through the visceral space. Therefore, a colonoscopic perforation may manifest as a pneumomediastinum, a pneumothorax, or subcutaneous emphysema without a peritoneal irritation sign. Although a colonoscopic perforation is treated mainly with an operation, medical treatment may be possible in selected cases, especially for a perforation to the retroperitoneal area or that under peritoneal reflexion. Clipping of a perforation is effective for medical treatment. We experienced a case of pneumothorax, pneumomediastinum, subcutaneous emphysema and pneumoretroperitoneum without peritoneal irritation following a diagnostic colonoscopy, which was diagnosed after 3 days because of atypical symptoms but was successfully managed with medical treatment and clipping.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pleura
/
Pneumothorax
/
Retroperitoneal Space
/
Retropneumoperitoneum
/
Subcutaneous Emphysema
/
Colonoscopy
/
Fatal Outcome
/
Subcutaneous Tissue
/
Mediastinal Emphysema
/
Mediastinum
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2011
Type:
Article
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