Routine colonoscopy complicated by small-bowel obstruction

Zanati, Simon; Fu, Anna; Kortan, Paul P.

doi:10.1016/s0016-5107(05)00003-9

Cited by 5 publications

(8 citation statements)

References 13 publications

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“…Three cases describe the resolution of small bowel ileus or obstruction following conservative treatment. The authors note that each of these episodes occurred in patients who had previously had appendicectomy or colonic resection, suggesting that they are cases of adhesive small bowel obstruction precipitated by colonoscopy [ 4 , 5 ]. This theory is supported by the observation of two cases requiring laparotomy and adhesiolysis of post appendicectomy adhesions [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction complicating colonoscopy: a case report

2008

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IntroductionThis report describes a rare complication of colonoscopy and reviews the literature with regard to other rare causes of acute abdominal presentations following colonoscopy.Case presentationAfter a therapeutic colonoscopy a 60-year-old woman developed an acute abdomen. At laparotomy she was discovered to have small bowel obstruction secondary to incarceration through a congenital band adhesion.ConclusionAlthough there is no practical way in which such rare complications can be predicted, this case report emphasises the wide array of pathologies that can result in acute abdominal symptoms following colonoscopy.

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Section: Discussionmentioning

confidence: 99%

Small bowel obstruction complicating colonoscopy: a case report

2008

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“…From a first screening, based on titles, 25 articles were included for abstract and full-text review. Among these studies and from the analysis of reference sections of pertinent systematic reviews [8,9], 17 articles were finally included [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Eight studies were excluded because they didn't meet the eligibility criteria.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies were excluded because they didn't meet the eligibility criteria. Sixteen out of the 17 articles included were case reports [8][9][10][12][13][14][15][16][17][18][19][20][21][22][23][24], and one was a case series [11], with a total of 19 patients. Of these 19 patients, 53% (10/19) were males with a mean age of 48 (range 19-73) years old.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, the act of aspirating gas during colonoscope removal could potentially create a vacuum effect, which might also contribute to the onset of intussusception [8,16,22]. Other factors associated with colonoscopy factors that could similarly play a minor role in intussusception development, include procedure-related sympathetic system stimulation, and the use of sedatives with opioid properties [12]. Finally, minor predisposing factors concerning the anatomy and pathophysiology of the small intestine and colon are the peristalsis of the small intestine and the relaxation of the ileocecal valve [16].…”

Section: Discussionmentioning

confidence: 99%

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Surprising Complication of Intussusception after Colonoscopy: A Case Report and A Review of the Literature

2024

J Surg

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This study discusses a case with a history of ileal-caecal intussusception post colonoscopy requiring urgent surgical intervention and a systematic review explores the literature on post-colonoscopy intussusception. A systematic review was conducted according to PRISMA guidelines. Studies reporting entero-enteric, ileo-colic, or colo-colic intussusception after colonoscopy, published in English before June 2023, were included. Data was extracted on patient demographics, indications for colonoscopy, procedural details, clinical symptoms, and management. Overall, 19 cases were identified from 17 studies. The median age was 48 years and 53 % were male. History of abdominal surgery was reported in 42% of cases. Symptoms typically appeared within a week of the procedure. The majority of cases required surgical intervention (63%), while others were managed conservatively (34%). The case report is an 85-year-old man with a history of diabetes, cardiopathy and abdominal surgery presented to the Emergency Department with 2 days of abdominal pain and vomiting after colonoscopy. A Computer Tomography abdomen revealed findings concerning for a small-bowel volvulus. Subsequent laparotomy revealed ileo-caecal intussusception, requiring surgical resection. Histology examination revealed a small-bowel intramucosal adenocarcinoma. The patient recovered and was discharged on postoperative day 7. The etiology of post-colonoscopy intussusception is multifactorial, with potential contributing factors including adhesions, altered bowel motility, and gas insufflation. Patients with a history of abdominal surgery should be considered at increased risk and prompt identification is crucial to reduce morbidity and mortality.

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“…[26][27][28][29] This has been noted in association with strictures due to colon carcinoma, cecal or sigmoid volvulus, diverticulitis, postischemia, and endometriosis. Bowel obstruction may occur immediately prior to optical colonoscopy as a result of a high-volume antegrade fluid bowel cleanser unmasking obstruction, usually of the colon, at the site of a tight stricture.…”

Section: Bowel Obstructionmentioning

confidence: 98%