Abdominal wall abscess secondary to colonoscopic polypectomy. Radiological management

García-García, María Luisa; Jiménez-Ballester, Miguel Ángel; Girela-Baena, Enrique; Aguayo-Albasini, José Luís

doi:10.1016/j.gastre.2017.07.001

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Complications after polypectomy have been reported (shown in Table 2). In particular, one study reported a case of pyogenic liver abscess after colonoscopic polypectomy [11]. The infection may have been caused by mucosal disruption after colonoscopic polypectomy.…”

Section: Discussionmentioning

confidence: 99%

Phlegmonous Colitis after Cold Snare Polypectomy in an Immunosuppressed Patient: A Case Report

Kimura,

Ichita,

Sumida

et al. 2024

Case Rep Gastroenterol

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Introduction: Cold snare polypectomy (CSP) is a procedure with a low risk of complications. Here, we present our experience of a rare case of submucosal abscess following CSP in an immunosuppressed patient. Case Presentation: Seventy-eight-year-old man underwent CSP, developing a fever, chills, and right lower abdominal pain 8 days later. Ultrasound and computed tomography revealed wall thickening of the ascending colon, presenting as whitening and thickening of the same region, and excretion of pus was observed after biopsy. The diagnosis was made as phlegmonous colitis, for which antibiotic therapy was commenced. The patient was diagnosed with chronic myelomonocytic leukemia (CMML) during admission. We considered the following reasons as possible causes of infectious complications after CSP: (1) the patient had a highly immunosuppressed state with comorbidities such as CMML as well as diabetes mellitus and (2) disruption of the mucosal barrier occurred during endoscopic resection. Conclusion: Although CSP is generally considered safe, our case highlights the potential for serious complications in immunosuppressed patients. Therefore, the decision to perform CSP in such patients should be made with caution to avoid unnecessary interventions. In instances where treatment is essential, thorough bowel preparation and prophylactic antibiotic use may be necessary to mitigate the risks.

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Section: Discussionmentioning

confidence: 99%

Phlegmonous Colitis after Cold Snare Polypectomy in an Immunosuppressed Patient: A Case Report

Kimura,

Ichita,

Sumida

et al. 2024

Case Rep Gastroenterol

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“…Only one patient of parietal abscess has been reported in the literature that developed two weeks after colonoscopic polypectomy (Therapeutic colonoscopy). 7 There are reports of retroperitoneal abscess due to colonic perforation during colonoscopy. 5 Colonic fistula with parietal abscess commonly reported with underlying pathology like colon cancer, tuberculosis, Crohn's disease etc.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 A rare case of abdominal wall abscess has also been reported following polypectomy. 7 But there is no description of parietal abscess developing from colonic perforation during diagnostic colonoscopy.…”

Section: Introductionmentioning

confidence: 99%

Post colonoscopy colonic perforation with parietal abscess: a rare case report

Choudhury¹,

Baruah²,

Azharuddin³

2021

Int Surg J

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Colonoscopy is a common method of diagnosing colon and rectum illnesses. Complications from colonoscopy are rare. However, perforation is one of the most common problems observed. The incidence is 0.005-0.085 percent. Extraperitoneal and mixed postcolonoscopy colonic perforations are classified as intraperitoneal, extraperitoneal and both combined. Extraperitoneal perforation is rare and frequently accompanied with subcutaneous emphysema and retroperitoneal abscess. Contrast CT scan is the most effective diagnostic and therapy tool. A parietal abscess after colonoscopy is quite rare. Only one incidence of post-colonoscopy retroperitoneal colonic perforation with parietal abscess has been reported. An unusual case of colonic perforation after diagnostic colonoscopy was presented with a parietal abscess on the left iliac area. The patient, a 63-year-old diabetic male, had a diagnostic colonoscopy for intestinal irregularity. Afternoon severe ache over left iliac region brought patient to doctor. Nothing notable was discovered. So, they prescribed symptomatic drugs. Symptomatic medications were prescribed but without any relief. An abdominal contrast CT was recommended to him by his doctor after a few days. This retro muscular accumulation in the left transverses abdominis muscle communicated with the sigmoid colon. No signs of peritonitis or septicemia. Patient was stable. The aspirated fluid was sent for culture and sensitivity testing, and intravenous hydration and antibiotics were commenced. Patient tolerated conservative care. The subject was discharged in 2 weeks. Diagnosis and treatment of perforation are critical to recovery.

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Abdominal wall abscess secondary to colonoscopic polypectomy. Radiological management

Cited by 2 publications

References 8 publications

Phlegmonous Colitis after Cold Snare Polypectomy in an Immunosuppressed Patient: A Case Report

Phlegmonous Colitis after Cold Snare Polypectomy in an Immunosuppressed Patient: A Case Report

Post colonoscopy colonic perforation with parietal abscess: a rare case report

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