Pneumoretroperitoneum, Pneumomediastinum, Peumopericardium, and Subcutaneous Emphysema after Colonoscopic Examination.
- Author:
Nark Soon PARK
1
;
Jae Hyun CHOI
;
Dong Hun LEE
;
Young Jin KIM
;
Eun Sun KIM
;
Sung Woo JUNG
;
Ja Seol KOO
;
Hong Sik LEE
;
Sang Woo LEE
Author Information
1. Department of Internal Medicine and Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea. kumccjh@ns.kumc.or.kr
- Publication Type:Case Report
- Keywords:
Intestinal perforation;
Retropneumoperitoneum;
Pneumomediastinum;
Pneumopericardium;
Subcutaneous emphysema
- MeSH:
Colon;
Colonoscopy;
Hemorrhage;
Intestinal Perforation;
Mediastinal Emphysema*;
Pneumopericardium;
Retropneumoperitoneum*;
Subcutaneous Emphysema*
- From:Gut and Liver
2007;1(1):79-81
- CountryRepublic of Korea
- Language:English
-
Abstract:
Colonoscopy is regarded as a relatively safe procedure and is widely performed. However, complications such as bleeding, perforation, and coagulation syndromes can occur during colonoscopy. Although bowel perforation is as rare as 0.4-1.9% of cases, it is the most serious and awful adverse event which can lead to a death. Colon perforation may occur as either intraperitoneal or extraperitoneal, or in combination. Right subdiaphragmatic free air suggests intraperitoneal perforation while pneumoretroperitoneum, pneumomediastinum, pneumopericardium, and subcutaneous emphysema suggest extraperitoneal perforation. Combined intraperitoneal and extraperitoneal perforation is very rare. Herein, we present a case of combined intraperitoneal and extraperitoneal colon perforation which manifested as pneumoretroperitoneum, pneumomediastinum, pneumopericardium, and subcutaneous emphysema. The lesion was closed with endoscopic clipping.
