A Case of Pneumorrhachis and Pneumoscrotum Following Colon Endoscopic Submucosal Dissection.

Author: Mi Young JANG ¹ ; Jin Woong CHO ; Wang Guk OH ; Sung Jun KO ; Shang Hoon HAN ; Hoon Ki BAEK ; Young Jae LEE ; Ji Woong KIM ; Yong Keun CHO ; Gum Mo JUNG
Author Information

1. Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. jeja-1004@hanmail.net
Publication Type:Case Report
Keywords: Pneumorrhachis; Pneumoscrotum; Colon perforation; Endoscopic submucosal dissection
MeSH: Colon; Colonoscopy; Incidence; Pneumoperitoneum; Pneumorrhachis; Spinal Cord; Subcutaneous Emphysema
From:Intestinal Research 2013;11(3):208-212
CountryRepublic of Korea
Language:English
Abstract: Endoscopic submucosal dissection has been a useful treatment of selected colorectal neoplasia cases. The incidence of perforation related to colorectal endoscopic submucosal dissection is 5-20%. However, while there have been numerous reports regarding retroperitoneal, mediastinal, pleural and subcutaneous emphysema after therapeutic colonoscopy, pneumoscrotum is a relatively rare manifestation of perforation associated with colorectal endoscopic submucosal dissection. In particular, pneumorrhachis, or air within the spinal cord, following therapeutic colonoscopy, is extremely rare. Herein, we report a conservatively treated perforation case as having pneumorrhachis, penumoscrotum, and pneumoperitoneum after colorectal endoscopic submucosal dissection.