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Pneumoperitoneum after colonoscopy – “to cut or not to cut”


Authors: K. Kmochová 1;  P. Záruba 2;  M. Ryska 2;  M. Zavoral 1;  Š. Suchánek 1
Authors‘ workplace: Interní klinika 1. LF Univerzity Karlovy a Ústřední vojenská nemocnive Praha přednosta: prof. MUDr. M. Zavoral, Ph. D. 1;  Chirurgická klinika 2. LF Univerzity Karlovy a Ústřední vojenská nemocnive Praha přednosta: prof. MUDr. M. Ryska, CSc. 2
Published in: Rozhl. Chir., 2017, roč. 96, č. 9, s. 387-389.
Category: Case Report

Overview

Colon perforation is a very serious complication of colonoscopy. The correct diagnosis and management of therapy improve the prognosis of patients. The treatment can be conservative, endoscopic and surgical. In this case report we present microperforation as a complication of polypectomy in the caecum during colonoscopy, followed by laparoscopic surgery.

Key words:
colonoscopy – complication –perforation − polypectomy


Sources

1. Falt P, Urban O, Suchánek Š, et al. Doporučené postupy České gastroenterologické společnosti ČLS JEP pro diagnostickou a terapeutickou kolonoskopii. Gastroenterologie a hepatologie. 2016;70:523−38.

2. Cai SL, Chan T, Yao LQ, et al. Management of iatrogenic colorectal perforation: From surgery to endoscopy. World Journal of Gastrointestinal Endoscopy 2015;7:819−22.

3. Falt P, Urban O, Vítek P. Koloskopie. Praha, Grada Publishing 2015;120−2.

4. Lohsiriwat V. Colonoscopic perforation: Incidence, risk factors, management and outcome. World Journal of Gastroenterology 2010. [online] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811793/.

5. Raju GS, Yukata S, Takahisa M, et al. Endoscopic management of colonoscopic perforations. Gastointestinal Endoscopy. 2011;74:1381−8.

6. Špičák J, Urba J. Novinky v digestivní endoskopii. Praha, Grada Publishing 2015.

7. Viera FV, Freitas J. Post-colonoscopic polypectomy pneumoperitoneum successfully treated by paracentesis. Endoscopy 2005. [online] Available from: https://www.thieme-connect.com/DOI/DOI?10.1055/s-2005-870146.

8. Charvát D, Šimša J. Perforace gastroduodenálního vředu. Interní medicína 2004;12.583−5.

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Surgery Orthopaedics Trauma surgery
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