A Case of Pneumoperitoneum, Pneumoretroperitoneum, Pneumomediastinum, and Subcutaneous Emphysema after Endoscopic Submucosal Resection.
- Author:
Chang Jun SHIN
1
;
Kyoung Wan YOU
;
Seoung Bong PYO
;
Hyeung Cheul MOON
;
Gun Young HONG
;
Dong Hyun OH
;
Sang Wook PARK
;
Yeun Keun LIM
;
Kang Suk SEO
Author Information
1. Department of Internal Medicine, Gwangju Christian Hospital, Gwangju, Korea. gyh228@hanmail.net
- Publication Type:Case Report
- Keywords:
Colonscopy;
Rectal perforation;
Pneumoretroperitoneum;
Subcutaneous emphysema;
Pneumomediastinum
- MeSH:
Anti-Bacterial Agents;
Colon;
Colonoscopy;
Diagnosis;
Hemorrhage;
Humans;
Mediastinal Emphysema*;
Pneumoperitoneum*;
Rectal Neoplasms;
Retropneumoperitoneum*;
Subcutaneous Emphysema*
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(2):116-120
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Flexible fiberoptic colonoscopy is extensively used for the diagnosis and management of colorectal disease. Many possible complications can occur. The most common and most serious complications are hemorrhage, perforation and respiratory problems. Colonic perforation usually results in a fatal and emergent condition. However, management of iatrogenic colonic perforation has been controversial. The choice between the medical versus the surgical approach has been dependent on the mechanism of the perforation, bowel preparation, location, size of the defect and severity of symptoms. We report here a case where colonic perforation emerged during endoscopic submucosal resection of a rectal tumor. The rectal perforation was accompanied with pneumoperitoneum, subcutaneous emphysema, pneumoretroperitoneum and pneumomediastinum. As the bowel preparation was excellent, intravenous antibiotics and total parenteral nutirition were administered. The patient was treated successfully without any complications.
