Abdominal Pain After Colonoscopy: Can It Be Acute Cholecystitis?

Aziz, Faisal; Milman, Perry J.; McNelis, John

doi:10.1007/s10620-007-9746-z

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…Post colonoscopy cholecystitis was first reported in 2001 by Milman and Goldenberg in a series of two patients [5]. After this initial report, an additional seven authors reported cholecystitis after colonoscopy [6][7][8][9][10][11][12] in a total of twelve patients ( Table 3). The precise mechanism leading to cholecystitis after colonoscopy remains unknown.…”

Section: Discussionmentioning

confidence: 96%

“…and Enterococcus facecalis in the pericholecystic fluid of their patient with gangrenous cholecystitis. In all remaining cases [ 5 , 6 , 8 - 10 ], the most likely underlying pathophysiology is due to increased lithogenicity of bile, as a direct result of the fasting state and commonly used large volume laxatives consumed for bowel cleansing.…”

Section: Discussionmentioning

confidence: 99%

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Acute Cholecystitis, A Rare Complication Following Routine Colonoscopy: Case Series and Literature Review

Shaikh¹,

Kumar²,

Patel³

et al. 2020

Cureus

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Colonoscopy is a commonly performed low-risk gastrointestinal procedure that may rarely result in a serious complication. Patients presenting with abdominal pain and fever after colonoscopy may have acute cholecystitis. The underlying mechanisms are unclear. Such patients usually present within 72 hours of the procedure. Treatment includes intravenous antibiotics and cholecystectomy. We present our experience of two such cases; a 56-year-old man and a 21-year-old man, both of whom developed acute calculus cholecystitis within 48 hours after a routine colonoscopy. Their symptoms resolved after cholecystectomy.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Acute Cholecystitis, A Rare Complication Following Routine Colonoscopy: Case Series and Literature Review

Shaikh¹,

Kumar²,

Patel³

et al. 2020

Cureus

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“…There are four reports of cholecystitis occurring after colonoscopy [10][11][12][13] with one report of acute gangrenous cholecystitis. 11 Acute cholecystitis is associated with cholelithiasis in most cases.…”

Section: Discussionmentioning

confidence: 99%

Unusual Causes of Abdominal Pain after Colonoscopy: A Case Series

Samsami

Sargon

Qazi

et al. 2019

Journal of Digestive Endoscopy

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Colonoscopy is a relatively safe procedure with an overall complication rate between 0.2 and 0.35%. Complications do occur, however, including preparation related complications, colonic perforation, postpolypectomy hemorrhage, postpolypectomy coagulation syndrome, and other less-common miscellaneous complications. Abdominal pain is one of the more common complaints that symptomatic patients will present with after a colonoscopy, occurring up to 5% of the time. Although the cause is usually minor and does not require further workup, gastroenterologists are most concerned about perforation and postpolypectomy coagulation syndrome in the setting of severe abdominal pain. However, as gastroenterologists, we must also be cognizant that there may be other less-common causes of the abdominal pain. The four cases presented here illustrate rare presentations of abdominal pain after colonoscopy, consisting of acute diverticulitis, incarcerated umbilical hernia, acute gangrenous cholecystitis, and rupture of the ovarian cyst. AbstractKeywords ► acute diverticulitis ► acute gangrenous cholecystitis ► colonoscopy ► incarcerated umbilical hernia ► rupture of ovarian cyst

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“…Dehydration caused by bowel preparation may lead to bile stasis, increased bile lithogenicity, and gallbladder distention, which increase the risk of a local inflammatory reaction [ 4 ]. In this setting, a preexisting gallstone can become impacted in the gallbladder neck or in the cystic duct [ 5 ], contributing to cholecystitis. Other proposed mechanisms are mechanical manipulation associated with bacterial translocation of the colon, and trauma or an adjacent inflammatory response from a polypectomy [ 4 , 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Cholecystitis After a Colonoscopy

Park¹,

Lee²,

Lee³

et al. 2013

Ann Coloproctol

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Acute cholecystitis after a colonoscopy is a rare event, and only eight documented cases are reported in the literature. A 35-year-old male underwent a screening colonoscopy. There was a 5-mm sessile polyp in the sigmoid colon, which was removed by using a hot snare polypectomy. Forty-eight hours after the colonoscopy, the patient visited our emergency department with epigastric pain and fever. Based on the clinical findings, laboratory data and radiologic imaging, our diagnosis was acute cholecystitis. Because no previous cases of this type have been reported to date in Korea, we publish the details of our patients who presented with a postcolonoscopy complication diagnosed as acute cholecystitis.

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Abdominal Pain After Colonoscopy: Can It Be Acute Cholecystitis?

Cited by 10 publications

References 6 publications

Acute Cholecystitis, A Rare Complication Following Routine Colonoscopy: Case Series and Literature Review

Acute Cholecystitis, A Rare Complication Following Routine Colonoscopy: Case Series and Literature Review

Unusual Causes of Abdominal Pain after Colonoscopy: A Case Series

Acute Cholecystitis After a Colonoscopy

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