1.Pneumoretroperitoneum After Procedure for Prolapsed Hemorrhoid.
Annals of Coloproctology 2013;29(6):256-258
Procedure for prolapsed hemorrhoid (PPH) is well recognized alternative to the traditional hemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. Over the past decade, there have been reports of severe life-threatening complications after a PPH, although the incidence is very low. Rectal perforation due to staple-line dehiscence is one of the serious complications that can cause severe pelvic sepsis or a pneumoretroperitoneum. Here, the first Korean case of a pneumoretroperitoneum due to staple-line dehiscence is described.
Hemorrhoidectomy
;
Hemorrhoids*
;
Incidence
;
Retropneumoperitoneum*
;
Sepsis
2.Retroperitoneal duodenal rupture: role of the plain abdomen.
Pyo Nyun KIM ; Won Su CHO ; Kyung Soo LEE ; Il Young KIM ; Young Moo GOO ; Moo Sik CHO
Journal of the Korean Radiological Society 1992;28(1):108-111
Retroperitoneal duodenal rupture is rare and is often difficult to diagnose on the plain abdominal x-ray. From a review of the plain abdomen films of 21 cases with retroperitoneal duodenal rupture, confirmed by operation, pneumoretroperitoneum was revealed in 16 cases; Air in the peritoneum was manifested as a bubbly shadow in 12 cases, a renal halo in 9 cases, air shadow along the right psoas margin in 2 cases, air along the diaphragmatic crus in 2 cases and air in the right properitoneal fat in 2 cases, US and CT also revealed air bubbles and fluid collection around the right kidney. We recommend the plain abdomen as a useful diagnostic method for detection of pneumoretroperitoneum.
Abdomen*
;
Kidney
;
Methods
;
Peritoneum
;
Retropneumoperitoneum
;
Rupture*
3.A Case of Pneumothorax Following Gastric Endoscopic Submucosal Dissection.
Yu Rim LEE ; Jun HEO ; Min Kyu JUNG ; Sung Kook KIM ; Eun Jeong KANG ; Seong Jae YEO ; Hye Yoon PARK
Korean Journal of Medicine 2015;88(1):54-59
Endoscopic submucosal dissection (ESD) is widely accepted as an alternative treatment to surgical resection for gastric neoplastic lesions. Among the complications of gastric ESD, perforation is usually manifested as a pneumoperitoneum. Here, we report a patient with a right-sided pneumothorax, pneumoperitoneum, and pneumoretroperitoneum as complications of gastric ESD. The patient recovered without further complications using conservative treatment, including endoscopic clipping, nasogastric drainage, and insertion of a chest tube.
Chest Tubes
;
Drainage
;
Endoscopy
;
Humans
;
Pneumoperitoneum
;
Pneumothorax*
;
Retropneumoperitoneum
4.Pneumoretroperitoneum and Sepsis After Transanal Endoscopic Resection of a Rectal Lateral Spreading Tumor.
Bruno Augusto Alves MARTINS ; Marcelo de Melo Andrade COURA ; Romulo Medeiros de ALMEIDA ; Natascha Mourão MOREIRA ; João Batista de SOUSA ; Paulo Gonçalves de OLIVEIRA
Annals of Coloproctology 2017;33(3):115-118
Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.
Colonoscopy
;
Colostomy
;
Humans
;
Microsurgery
;
Retropneumoperitoneum*
;
Sepsis*
;
Transanal Endoscopic Microsurgery
5.Subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum, and pneumoperitoneum secondary to colonic perforation during colonoscopy.
Byoung Ho KIM ; Se Jeong YOON ; Jun Yong LEE ; Jeong Eun MOON ; In Sun CHUNG
Korean Journal of Anesthesiology 2013;65(6 Suppl):S103-S104
No abstract available.
Colon*
;
Colonoscopy*
;
Mediastinal Emphysema*
;
Pneumoperitoneum*
;
Retropneumoperitoneum*
;
Subcutaneous Emphysema*
6.Subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum, and pneumoperitoneum secondary to colonic perforation during colonoscopy.
Byoung Ho KIM ; Se Jeong YOON ; Jun Yong LEE ; Jeong Eun MOON ; In Sun CHUNG
Korean Journal of Anesthesiology 2013;65(6 Suppl):S103-S104
No abstract available.
Colon*
;
Colonoscopy*
;
Mediastinal Emphysema*
;
Pneumoperitoneum*
;
Retropneumoperitoneum*
;
Subcutaneous Emphysema*
7.A Case of Successful Clipping of a Colonic Perforation during Diagnostic Colonoscopy.
Soon Ae KIM ; Jae Hak KIM ; Jin Ho LEE ; Chang Heon YANG
Korean Journal of Gastrointestinal Endoscopy 2009;38(6):348-351
The use of colonoscopy is important to prevent colon cancer. Despite the safety of the colonoscopy procedure, the most common complication of a colonoscopy is perforation, which occurs with a rate of approximately 0.3% during diagnostic colonoscopy and occurs with a rate of approximately 1.1% with the use of therapeutic colonoscopy. Surgery is the treatment of choice for most cases of colonic perforation. With the development of endoscopic devices and techniques, conservative treatment of colonic perforation has been reported by the use of endoscopic clipping. We report here a patient with iatrogenic perforation of the sigmoid colon that was caused by diagnostic colonoscopy. The perforation presented as pneumoretroperitoneum, which was successfully treated with endoscopic clipping.
Colon
;
Colon, Sigmoid
;
Colonic Neoplasms
;
Colonoscopy
;
Humans
;
Intestinal Perforation
;
Retropneumoperitoneum
8.Pneumoretroperitoneum, Pneumomediastinum, Subcutaneous Emphysema After a Rectal Endoscopic Mucosal Resection.
Hee Cheul JUNG ; Hyun Jin KIM ; Sung Bok JI ; Jun Hyeong CHO ; Ji Hye KWAK ; Chang Min LEE ; Wan Soo KIM ; Jin Ju KIM ; Jae Min LEE ; Sang Su LEE
Annals of Coloproctology 2016;32(6):234-238
An endoscopic mucosal resection (EMR) is an effective and safe therapeutic technique for treating a patient with a laterally-spreading tumor (LST). Colonoscopic-procedure-related complications are noted to be about 2.8% worldwide, and a perforation is the most common. Most colon perforations cause pneumoperitoneum. However, a perforation within the retroperitoneal portion of the colon (rectum and some of sigmoid colon) may cause an extraperitoneal perforation, and the leaking free air may induce pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema, depending on the amount of discharged air. Herein, we present the case of a patient with an extraperitoneal colon microperforation which manifested as pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema after an EMR for a sigmoid LST, which was successfully treated with medical treatment and endoscopic clipping.
Colon
;
Colon, Sigmoid
;
Colonoscopy
;
Humans
;
Mediastinal Emphysema*
;
Pneumoperitoneum
;
Retropneumoperitoneum*
;
Subcutaneous Emphysema*
9.Pneumothorax, Pneumomediastinum, Subcutaneous Emphysema, Pneumoretroperitoneum Secondary to Colonoscopic Perforation.
Ju Kyeon YIM ; Yeong Muk KIM ; Sung Nam PARK
Korean Journal of Gastrointestinal Endoscopy 2011;42(1):38-42
A colonoscopic perforation is rare but can cause a fatal outcome. A perforation can be intraperitoneal or retroperitoneal. Air in the retroperitoneal space by perforation can spread to the mediastinum, pleura, and subcutaneous tissue through the visceral space. Therefore, a colonoscopic perforation may manifest as a pneumomediastinum, a pneumothorax, or subcutaneous emphysema without a peritoneal irritation sign. Although a colonoscopic perforation is treated mainly with an operation, medical treatment may be possible in selected cases, especially for a perforation to the retroperitoneal area or that under peritoneal reflexion. Clipping of a perforation is effective for medical treatment. We experienced a case of pneumothorax, pneumomediastinum, subcutaneous emphysema and pneumoretroperitoneum without peritoneal irritation following a diagnostic colonoscopy, which was diagnosed after 3 days because of atypical symptoms but was successfully managed with medical treatment and clipping.
Colonoscopy
;
Fatal Outcome
;
Mediastinal Emphysema
;
Mediastinum
;
Pleura
;
Pneumothorax
;
Retroperitoneal Space
;
Retropneumoperitoneum
;
Subcutaneous Emphysema
;
Subcutaneous Tissue
10.Spontaneous Pneumoretroperitoneum.
Sang Lae LEE ; Seok Yong RYU ; Hong Yong KIM
Journal of the Korean Society of Emergency Medicine 2002;13(4):560-563
The pneumoretroperitoneum has many etiologies. These range from the clinically insignificant to the potentially fatal, if not recognized promptly. Spontaneous pneumoretroperitoneum can develope from ulcerative colitis, colonic diverti-culitis, or duodenal ulcer perforation. It can be associated with pneumothorax, pneumomediastinum, respiratoy tract rupture, etc. An isolated pneumoretroperitoneum are a more obscure symptom than a pneumoperitoneum. Mostly, the diagnosis of retroperitoneal air depends of radiologic methods, such as simple X-ray, ultrasound (US), or computerized tomography (CT) measurements. In this case, we diagnosed a pneumoretroperitoneum from CT and found that it caused the perforation of the colon spontaneously, without any underlying diseases, due to chronic constipation without underlying diseases
Colitis, Ulcerative
;
Colon
;
Constipation
;
Diagnosis
;
Duodenal Ulcer
;
Mediastinal Emphysema
;
Pneumoperitoneum
;
Pneumothorax
;
Retropneumoperitoneum*
;
Rupture
;
Ultrasonography