Colonic Perforation Due to Colonoscopy: A Retrospective Study of 48 Cases

Abstract

The choice of the right type of treatment for colonoscopic perforation seems to depend on the size of the lesion. Surgical treatment is appropriate when the perforation has occurred during diagnostic colonoscopy, since the lesion in this case is usually a large colonic laceration, whereas nonsurgical treatment seems to be justified after polypectomy, as long as there is rapid clinical improvement.

Prank gone wrong, transverse colon perforation due to air compressor pipe placed in anus

“…12 The part of colon which sustains the injury commonly is the caecum since it is the widest part of the colon. [12][13][14][15] In air compressor abuse the part of the colon mostly affected is the recto sigmoid which may be due to its fixity and restricted mobility and the angulation. 16 Woltjen reported a series of 3000 colonoscopy with a reported colonic injury in 4 patients.…”

Colonoscopia com polipectomia: análise crítica de fatores de risco e complicações

“…O tratamento destas complicações, em colonoscopia terapêutica, costuma ser por via endoscópica para hemorragia e conservador, não cirúrgico, para perfuração [21][22] . Todos os nossos sangramentos, com exceção de um (0,05%) tiveram tratamento endoscópico, enquanto as perfurações, que ocorreram em ceco e cólon ascendente, tiveram todas tratamento conservador, com alta hospitalar em torno de 5 dias.…”

Sigmoid Colon Perforation at CT Colonography Secondary to a Possible Obstructive Mechanism: Report of a Case

“…4 Perforation is usually attributed to one of three causes: damage of the rectal wall caused by the introduction of the balloon catheter; excess pneumatic or hydrostatic pressure to normal bowel wall; or localized weakness of bowel wall caused by ischemia, recent biopsy, toxic megacolon, or steroid use. 9 Because bowel insufflation on CTC is not performed under fluoroscopic control, it is possible that inadvertent perforation may be only recognized Clinical signs and symptoms of perforation include abdominal pain, distention, nausea, fever, increased blood pressure, increased heart rate, respiratory distress, and diffuse peritonitis. However, because perforation in CTC occurs in the setting of a previously Bclean^colon, symptoms may be totally absent as it happened in the present case.…”