Small bowel obstruction complicating colonoscopy: a case report

Hunter, Iain Andrew; Sarkar, Rupa; Smith, Andrew M.

doi:10.1186/1752-1947-2-179

Cited by 10 publications

(11 citation statements)

References 9 publications

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“…Most cases have been related to volvulus of the cecum, sigmoid or small bowel mesentery, or adhesive small bowel obstruction precipitated by colonoscopy. 8 Although ultrasonography is considered a useful tool for the diagnosis of intussusception, both in children and in adults, CT scanning is the most sensitive imaging method to confirm intussusception, with a reported diagnostic accuracy of 58% to 100%. 1,10 CT scanning is very useful in defining the exact features of a mass and the presence of suspected malignancy, although its diagnostic value is limited in the presence of significant amount of intestinal air and by the presence of previously administered barium for small bowel series.…”

Section: Discussionmentioning

confidence: 99%

Ileocolic Intussusception Precipitated by Diagnostic Colonoscopy

Lasithiotakis

Grisbolaki

Filis

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Only 5% of all cases of intussusceptions occur in adults. Intussusception complicating colonoscopy is an extremely rare event. Herein, we present a case of a 58-year-old man who developed ileocolic intussusception after a colonoscopy during which an adenomatous polyp was discovered in the terminal ileum. Eight hours after colonoscopy, the patient developed diffuse abdominal pain associated with vomiting and bloody diarrhea. A contrast-enhanced abdominal computed tomography scan revealed features of mechanical intestinal obstruction and a round soft tissue mass inside the right colon, followed by the wall of the intussusceptum. Emergency laparotomy revealed extended ileocecal intussusception with the polyp incarcerated by the ileocecal valve. A typical right hemicolectomy was performed, and the patient had an uneventful recovery. Histologic examination of the surgical specimen revealed an inflammatory fibroid polyp. Ileocolic intussusception due to an ileal polyp may be precipitated by colonoscopy and should be included in the differential diagnosis of acute abdomen after colonoscopy.

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Section: Discussionmentioning

confidence: 99%

Ileocolic Intussusception Precipitated by Diagnostic Colonoscopy

Lasithiotakis

Grisbolaki

Filis

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…In this case, we hypothesize that repeated impact of running caused a shift in relative position of the fibrofatty band, looping around the terminal ileum resulting in extrinsic small bowel obstruction. Similarly, the manipulation of the small bowel and colon during colonoscopy has been reported to cause the bowel to pass through congenital fibrofatty bands and mesenteric defects resulting in small bowel obstruction 11,12…”

Section: Discussionmentioning

confidence: 99%

Fibrofatty Band-Associated Small Bowel Obstruction After Marathon Running

Pembroke

Raj

2016

ACG Case Reports Journal

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We report a 57-year-old man who developed subacute small bowel obstruction after running a marathon. A fibrofatty band was identified restricting the terminal ileum upon subsequent imaging. Surgical division of the band resulted in complete resolution of the patient’s symptoms. Fibrofatty bands are embryonic remnants of the vitellointestinal duct and have not previously been reported to cause small bowel obstruction at the terminal ileum. We discuss the origin of remnant fibrofatty bands and physiological impact of running a marathon upon the gastrointestinal tract that would have contributed to development of subacute small bowel obstruction.

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“…To date, there have been three reported cases of small bowel obstruction after a colonoscopy and all had a history of abdominal surgery [8][9][10]. However, this patient had no history of abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Severe ileus after colonoscopy in a patient on peritoneal dialysis

Kim

Hwang

et al. 2017

Yeungnam Univ J Med

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Peritoneal dialysis (PD) is associated with the development of various complications, such as exit site infection or peritonitis, and rarely, intestinal obstruction in prolonged PD patients with recurrent peritonitis. However, post-colonoscopy acute intestinal obstruction has not been reported in PD patients to date. Herein, we report a case of severe ileus after a colonoscopy without previous episodes of peritonitis in a PD patient. A 51-yearold man undergoing PD for 7 years visited our emergency department due to severe abdominal pain and vomiting after colonoscopic polypectomy. A simple abdominal radiography and abdominal computed tomography showed ileus with collapsed distal ileal loop. A peritoneal dialysate study revealed no evidence of peritonitis. The patient was treated with decompression therapy, and ileus was successfully treated without complications. This case suggests that it is not only necessary to prevent peritonitis, but also important to monitor the development of ileus after colonoscopy in PD patients.

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Small bowel obstruction complicating colonoscopy: a case report

Cited by 10 publications

References 9 publications

Ileocolic Intussusception Precipitated by Diagnostic Colonoscopy

Ileocolic Intussusception Precipitated by Diagnostic Colonoscopy

Fibrofatty Band-Associated Small Bowel Obstruction After Marathon Running

Severe ileus after colonoscopy in a patient on peritoneal dialysis

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