1.A Case of Iatrogenic Tension Pneumoperitoneum following Colonoscopy in a Patient with Cytomegalovirus Colitis.
Eun Sil LEE ; Myoung Kuk JANG ; So Young PARK ; Jae Hyung LEE ; Ja Young LEE ; Eun Ju LIM ; Hyung Su KIM ; Jun Ho LEE ; Ja Young LEE ; Kyung Ho KIM ; Yong Bum PARK ; Joon Yong PARK ; Jin Heon LEE ; Hak Yang KIM ; Jae Young YOO
The Korean Journal of Gastroenterology 2006;47(4):312-315
Perforation of the colon occurs in 0.2 to 2% of all colonoscopic examinations. The most common sites of perforation are rectosigmoid junction and cecal area. Colonic perforation, leading to tension pneumoperitoneum in most cases, may be caused by direct trauma or pressurized air. It should be suspected in patients with hypotension, tachycardia and tachypnea during or after the colonoscopy. An 83-year-old woman was admitted due to pulmonary embolism and left cerebellar infarction. Colonoscopy was performed due to bloody diarrhea. She was diagnosed as cytomegalovirus (CMV) colitis. One week after the colonoscopy, colon perforation was incidentally found on ascending colon, and tension pneumoperitoneum occurred immediately after the procedure. The perforated site was primarily closed and the patient discharged 20 days later. Herein, we report a case of tension pneumoperitoneum following colonoscopy in a patient with CMV colitis.
Aged, 80 and over
;
Colitis/*diagnosis/virology
;
Colon/*injuries
;
Colonoscopy/*adverse effects
;
Cytomegalovirus Infections/*diagnosis
;
Female
;
Humans
;
Intestinal Perforation/*etiology
;
Pneumoperitoneum/*etiology
2.Cytomegalovirus Infection-related Spontaneous Intestinal Perforation and Aorto-enteric Fistula after Abdominal Aortic Aneurysmal Repair.
Su Young AHN ; Sun Young LEE ; Bum Sung KIM ; Kyoung Hoon RHEE ; Jeong Hwan KIM ; In Kyung SUNG ; Hyung Seok PARK ; Choon Jo JIN
The Korean Journal of Gastroenterology 2010;55(1):62-67
Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
Aged
;
Aged, 80 and over
;
Aorta, Abdominal/*surgery
;
Aortic Aneurysm, Abdominal/complications/*surgery
;
Aortic Diseases/*diagnosis/surgery/virology
;
Cytomegalovirus Infections/*complications/diagnosis/pathology
;
Endoscopy, Gastrointestinal
;
Gastrointestinal Hemorrhage/etiology
;
Humans
;
Intestinal Fistula/*diagnosis/surgery/virology
;
Intestinal Perforation/*diagnosis/virology
;
Male
;
Vascular Fistula/*diagnosis/surgery/virology
3.Cytomegalovirus Infection-related Spontaneous Intestinal Perforation and Aorto-enteric Fistula after Abdominal Aortic Aneurysmal Repair.
Su Young AHN ; Sun Young LEE ; Bum Sung KIM ; Kyoung Hoon RHEE ; Jeong Hwan KIM ; In Kyung SUNG ; Hyung Seok PARK ; Choon Jo JIN
The Korean Journal of Gastroenterology 2010;55(1):62-67
Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
Aged
;
Aged, 80 and over
;
Aorta, Abdominal/*surgery
;
Aortic Aneurysm, Abdominal/complications/*surgery
;
Aortic Diseases/*diagnosis/surgery/virology
;
Cytomegalovirus Infections/*complications/diagnosis/pathology
;
Endoscopy, Gastrointestinal
;
Gastrointestinal Hemorrhage/etiology
;
Humans
;
Intestinal Fistula/*diagnosis/surgery/virology
;
Intestinal Perforation/*diagnosis/virology
;
Male
;
Vascular Fistula/*diagnosis/surgery/virology