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KMID : 0385920070180050438
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Journal of the Korean Society of Emergency Medicine
2007 Volume.18 No. 5 p.438 ~ p.442
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A case of the Colon Perforated Patient Visited Emergency Department for Pneumomediastinum
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Moon Kyung-Min
Yang Young-Mo
Jung Sung-Hee
Yang Hyeon-Woong
Lee Yun-Jung
Choi Gi-Young
Kim An-Na
Cha Sang-Woo
Lim Sin-Hyung
Park Sang-Hyun
Lee Woong-Chul
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Abstract
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Bleeding and perforation are serious and commonly observed complications of colonofibroscopy. Pneumoretro-peritoneum and pneumomediastinum are also infrequently reported as complications of colonofibroscopy. Clinical symptoms of pneumomediastinum are variable, with chest pain being the most common symptom, and a definitive diagnosis can be made by chest X-ray. Most cases can be successfully managed with only conservative treatment. Infrequently surgical managements are required. We report an unusual case of pneumoretroperitoneum and pneumomediastinum as a complication of colonofibroscopy. Pneumomediastinum was treated successfully and simply with only antibiotics and fasting.
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KEYWORD
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Colonoscopy, Intestinal Perforation, Retropneumoperitoneum, Mediastinal Emphysema
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