Pneumoperitoneum, Pneumothorax, and Pneumoretroperitoneum Post Colonoscopy: A Case report and Review of Literature-Reference-Cited by-同舟云学术

Pneumoperitoneum, Pneumothorax, and Pneumoretroperitoneum Post Colonoscopy: A Case report and Review of Literature

Published:2020-12-01 Issue: Volume: Page:102-105
ISSN:2053-6631
Container-title:EMJ Hematology
language:
Short-container-title:EMJ Hematol

Author:

Kyriakos Saad Melissa¹,Saber Toufic¹,Cortas George²,Saikaly Elias³

Affiliation:

1. Saint George Hospital University Medical Center, General Surgery Department, University of Balamand, Beirut, Lebanon

2. Gastroenterology Department, Saint George Hospital University Medical Center, University of Balamand, Beirut, Lebanon

3. General Surgery Department, Saint George Hospital University Medical Center, University of Balamand, Beirut, Lebanon

Abstract

Colonic perforation post colonoscopy is rarely seen; however, when coupled with massive pneumoperitoneum in haemodynamically stable patients, a real dilemma for surgeons is created. The decision between watchful waiting versus surgical intervention is the real challenge and while most surgeons will urge for surgical intervention, conservative management on the other hand can be safely applied in selected haemodynamically stable patients.

Publisher

European Medical Group

Reference6 articles.

1. Senore C et al. (2016). Colonoscopy surveillance: guidelines for polyps and IBD. Minerva Gastroenterol Dietol. 2016;62(2):207-22.

2. Bharadwaj S et al. The role of endoscopy in inflammatory bowel disease. J Dig Dis. 2015;16(12):689-98.

3. Alexiou K et al. Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report. Cases J. 2009;2(1):120.

4. Marwan K et al. Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema following diagnostic colonoscopy. Ann R Coll Surg Engl. 2007;89(5):W20-1.

5. Ustek S et al. Benign pneumoperitoneum after colonoscopy. Case Rep Med. 2010;2010:631036.