Pneumoretroperitoneum, Pneumomediastinum, Pneumothorax, and Subcutaneous Emphysema after Diagnostic Colonoscopy.
10.4166/kjg.2017.70.3.145
- Author:
Hee Sung LEE
1
;
Hwan Hee PARK
;
Ju Seok KIM
;
Sun Hyung KANG
;
Hee Seok MOON
;
Jae Kyu SUNG
;
Byung Seok LEE
;
Hyun Yong JEONG
Author Information
1. Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea. mhs1357@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Perforation;
Pneumoretroperitoneum;
Pneumomediastinum;
Pneumothorax;
Subcutaneous emphysema
- MeSH:
Abdominal Pain;
Colon;
Colonoscopy*;
Humans;
Mediastinal Emphysema*;
Neck;
Pneumoperitoneum;
Pneumothorax*;
Retropneumoperitoneum*;
Subcutaneous Emphysema*;
Voice
- From:The Korean Journal of Gastroenterology
2017;70(3):145-149
- CountryRepublic of Korea
- Language:English
-
Abstract:
Colonoscopy is a commonly performed endoscopic procedure. Although it is generally considered to be safe, serious complications, such as colorectal perforation, can occur. Most colonic perforations are intraperitoneal and cause pneumoperitoneum with acute abdominal pain as the initial symptom. However, extraperitoneal perforations with pneumoretroperitoneum may happen, albeit rarely, with atypical initial symptoms. We report a rare case of rectosigmoid perforation occurring after diagnostic colonoscopy that developed into pneumoretroperitoneum, pneumomediastinum, pneumothorax, and subcutaneous emphysema, with a change in voice and neck swelling as the initial symptoms. The patient was successfully treated with endoscopic closure of the perforation and conservative management.
