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KMID : 1188320070010010079
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Gut and Liver
2007 Volume.1 No. 1 p.79 ~ p.81
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Pneumoretroperitoneum, Pneumomediastinum, Peumopericardium, and Subcutaneous Emphysema after Colonoscopic Examination
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Park Nark-Soon
Choi Jai-Hyun
Lee Dong-Hun
Kim Young-Ji
Kim Eun-Sun
Jung Sung-Woo
Koo Ja-Seol
Lee Hong-Sik
Lee Sang-Woo
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Abstract
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Colonoscopy is regarded as a relatively safe procedure and is widely performed. However, complications such as bleeding, perforation, and coagulation syndromes can occur during colonoscopy. Although bowel perforation is as rare as 0.4-1.9% of cases, it is the most serious and awful adverse event which can lead to a death. Colon perforation may occur as either intraperitoneal or extraperitoneal, or in combination. Right subdiaphragmatic free air suggests intraperitoneal perforation while pneumoretroperitoneum, pneumomediastinum, pneumopericardium, and subcutaneous emphysema suggest extraperitoneal perforation. Combined intraperitoneal and extraperitoneal perforation is very rare. Herein, we present a case of combined intra-peritoneal and extraperitoneal colon perforation which manifested as pneumoretroperitoneum, pneumomediastinum, pneumopericardium, and subcutaneous emphysema. The lesion was closed with endoscopic clip-ping.
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KEYWORD
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Intestinal perforation, Retropneumoperitoneum, Pneumomediastinum, Pneumopericardium, Subcutaneous emphysema
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