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- Title
A case of post-colonoscopy intra/extraperitoneal free air: is surgical treatment always necessary?
- Authors
Taşcı, Halil İbrahim; Karagülle, Erdal; Türk, Emin
- Abstract
Colonoscopy-related colonic perforation may occur through pneumatic or mechanical impact, or due to various therapeutic procedures. Mucosal herniation may develop because of an increase in post-air insufflation pressure. This condition may render the mucosa air-permeable without a distinct focal perforation point. A 63-year-old female patient, who had had surgery for malign rectal neoplasm five years ago and followed-up for radiation proctitis, presented to the emergency department three days after she had control colonoscopy with complaints of a gradually deteriorating facial and cervical swelling along with respiratory distress that developed a day after the procedure. The results of the patient's analyses revealed that she had colonoscopy-related pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum, cervical and facial subcutaneous emphysema. Medical follow-up was planned for the patient since there were no signs of peritonitis in her physical examination, her overall condition was well, and because a long time had passed after the procedure. The patient was discharged after a two-day follow-up with no problems. Colonoscopy-related intraperitoneal or extraperitoneal free air can both be seen immediately during the procedure, or it can develop a long time after the procedure as well. Unnecessary surgical procedures can be prevented through medical follow-up under close monitoring in such patients particularly if they do not have signs or symptoms of peritonitis and their overall condition is well.
- Subjects
PERITONITIS; COLONOSCOPY; PNEUMOPERITONEUM; SUBCUTANEOUS emphysema; EMERGENCY medical services
- Publication
Ege Journal of Medicine, 2024, Vol 63, Issue 1, p143
- ISSN
1016-9113
- Publication type
Article
- DOI
10.19161/etd.932019