Mesenteric torsion causing small-bowel obstruction as a complication of colonoscopy

Yarze, Joseph C.; Dimick, Richard N.; Lieberth, Michael T.

doi:10.1016/j.gie.2005.10.024

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…2 There was a single case of mesenteric torsion comparable with our current patient found in the medical literature, in which the patient was managed conservatively without a need for surgical treatment. 3 However, our case demonstrates that intestinal necrosis requiring intestinal resection may also be encountered. Awareness of this rare but potentially life-threatening complication is critical in assessing any patient for postcolonoscopy complications.…”

Section: Answer To: Image 5: Small Bowel Obstruction and Necrosis Fromentioning

confidence: 68%

Small Bowel Necrosis After Colonoscopy

2019

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Question: A 73-year-old woman underwent surveillance colonoscopy for a history of colon adenomas. The colonoscopy was uncomplicated and remarkable for 3 small rectosigmoid polyps that were resected with cold biopsy forceps. The patient was discharged home, and approximately 12 hours later she had the acute onset of lower abdominal pain and obstipation. She presented to the emergency department and on physical examination there was mild abdominal distension with tympany and lower abdominal tenderness to deep palpation. Computed tomography (CT) scans of the abdomen and pelvis showed mildly dilated small bowel loops consistent with ileus. She was admitted to the surgery service and a nasogastric tube was placed to suction with bilious output. Later that night, she developed tachycardia and tachypnea. Physical examination showed worsening abdominal distension and tenderness. Blood tests revealed new leukocytosis, lactic acidemia, and hypoalbuminemia. Repeat CT scans of the abdomen and pelvis showed persistently dilated small bowel loops and new pneumatosis intestinalis with pneumoperitoneum (Figure A, B). She underwent emergent exploratory laparotomy that revealed small bowel necrosis (Figure C). What was the cause of her small bowel obstruction and necrosis? See the Gastroenterology web site (www.gastrojournal.org) for more information on submitting your favorite image to Clinical Challenges and Images in GI.

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Section: Answer To: Image 5: Small Bowel Obstruction and Necrosis Fromentioning

confidence: 68%

Small Bowel Necrosis After Colonoscopy

2019

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Intestinal Obstruction Aggravated by Colonoscopy: A Case Report

Kim

Lee

Yok

et al. 2009

J Korean Soc Coloproctol

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Colonoscopy is a frequently performed procedure used for colorectal cancer screening. Most frequent complication is colonic perforation and bleeding. Other visceral injuries are very rare, but injuries to the spleen and liver have been described. We report on 66-yr-old female who presented with abdominal pain after uneventful colonoscopy. Abdominal CT scan revealed a band at previous hysterectomy site and dilated small bowel suggesting strangulated loop. A broad based knowledge of the different complication is necessary to decrease the risk of associated morbidity and mortality.

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Mesenteric torsion causing small-bowel obstruction as a complication of colonoscopy

Cited by 2 publications

References 5 publications

Small Bowel Necrosis After Colonoscopy

Small Bowel Necrosis After Colonoscopy

Intestinal Obstruction Aggravated by Colonoscopy: A Case Report

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