A case of Behçet’s disease with multiple colon perforations

Kuru, Serdar; Demırel, Arif Hakan; Dönmez, Mustafa

doi:10.4318/tjg.2010.0112

Cited by 1 publication

(2 citation statements)

References 2 publications

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“…The incidence of spontaneous bowel perforation in patients with Crohn's disease was reported to be 1.5%[ 3 ], but the incidence is unclear in patients with BD. Spontaneous bowel perforation in patients with intestinal BD could be single or multiple and is not limited to the ileocecal region[ 4 , 5 ]. Patients can experience severe abdominal pain, abdominal distention, nausea, vomiting, obstipation and fever[ 2 , 4 - 6 ] and often require surgical intervention[ 2 , 4 , 5 , 7 ], such as colonic repair and enterectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous bowel perforation in patients with intestinal BD could be single or multiple and is not limited to the ileocecal region[ 4 , 5 ]. Patients can experience severe abdominal pain, abdominal distention, nausea, vomiting, obstipation and fever[ 2 , 4 - 6 ] and often require surgical intervention[ 2 , 4 , 5 , 7 ], such as colonic repair and enterectomy. BD with spontaneous intestinal perforation could be confused with other common acute abdominal diseases, for example, acute suppurative appendicitis, due to the similarities of the abdominal symptoms and signs.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral pneumothorax and pneumomediastinum during colonoscopy in a patient with intestinal Behcet’s disease: A case report

Mu¹,

Feng²

2022

WJCC

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BACKGROUND Colonoscopy is essential for the diagnosis of intestinal Behcet’s disease (BD), which is characterized by a typical oval-shaped ulcer in the ileocecal region. However, potential risks of colonoscopy have rarely been reported. CASE SUMMARY Herein, we describe a patient with intestinal BD who presented with decreased oxygen saturation and shortness of breath during a diagnostic colonoscopy. Bilateral pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema of the neck, chest, abdomen, back and scrotum were confirmed by computed tomography scan. The sudden change in condition was considered to be associated with iatrogenic bowel perforation. After receiving closed thoracic drainage and conservative therapy, the patient was discharged in stable condition. CONCLUSION Endoscopists should be aware of the risks of colonoscopy in patients with intestinal BD and the possibility of pneumothorax associated with intestinal perforation and make adequate preparations before colonoscopy.

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