Endoscopic Perforation of The Colon: Lessons From A 10-Year Study

Anderson, Marlys; Pasha, Tousif M.; Leighton, Jonathan A.

doi:10.1111/j.1572-0241.2000.03356.x

Cited by 369 publications

(184 citation statements)

References 22 publications

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“…However, concerns were raised about recommending CTC as routine screening tool because of potential harm [14,15]. While CTC is widely considered to be much safer than colonoscopy [16][17][18], it is not exempt from potential serious complications, mainly represented by large bowel perforations [18][19][20][21][22]. The National Survey of United Kingdom [18] has suggested a perforation rate, for diagnostic studies, of 1 in every 1889 examinations.…”

Section: Introductionmentioning

confidence: 99%

Adverse events of computed tomography colonography: An Italian National Survey

Iafrate¹,

Iussich²,

Correale³

et al. 2013

Digestive and Liver Disease

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a b s t r a c tAim: To retrospectively study the frequency and magnitude of complications associated with computed tomography (CT) colonography in clinical practice. Methods: A questionnaire on complications of CT colonography was sent to Italian public radiology departments identified as practicing CT colonography with a reasonable level of training. The frequency of complications and possible risk factors were retrospectively determined. Responses were collated and row frequencies determined. A multivariate analysis of the factors causing adverse events was also performed. Results: 40,121 examinations were performed in13 centers during the study period. No deaths were reported. Bowel perforations occurred in 0.02% (7 exams). All perforations were asymptomatic and occurred in patients undergoing manual insufflation. Five perforations (71%) occurred in procedures performed following a recent colonoscopy. There was no significant difference between perforations associated with rectal balloon (0.017%) and those that were not (0.02%). Complications related to vasovagal reaction (either with or without spasmolytic) occurred in 0.16% (63 exams). All vasovagal reactions resolved in less than 3 h, without any sequelae. Conclusions: Perforation rate at CT colonography in Italy is comparable with elsewhere in the world, occurring regardless of the experience of radiology centers. Although the risk is very small, it may not be negligible when compared with the risk of diagnostic colonoscopy.

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Section: Introductionmentioning

confidence: 99%

Adverse events of computed tomography colonography: An Italian National Survey

Iafrate¹,

Iussich²,

Correale³

et al. 2013

Digestive and Liver Disease

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“…Surgery is mandatory in cases of generalized peritonitis, significant amount of extraluminal air, or failure of the conservative treatment. 12 …”

Section: Discussionmentioning

confidence: 99%

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

Belo-Oliveira¹,

Curvo-Semedo²,

Rodrigues³

et al. 2007

Diseases of the Colon &Amp; Rectum

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We report a case of colonic perforation in CT colonography, which was observed in a sigmoid colon segment contained within an inguinal hernia. At surgery, apart from the perforation, a normal large-bowel wall was found. Although rare, perforation may occur in patients with normal bowel wall, possibly resulting from a mechanical strain caused by gaseous overdistention. Radiologists performing the procedure must be aware of this possibility.

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“…Colonic perforation presenting with pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema is extremely rare [2]. We report the case of a patient presenting with abdominal pain and dysphonia associated with diffuse chest, neck and facial surgical emphysema following a colonoscopy.…”

Section: Introductionmentioning

confidence: 99%

Pain in the Neck Following Colonoscopy

William¹

2014

Surgery

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Colonoscopy remains a widely used diagnostic and therapeutic procedure. However, like any invasive investigation it has the potential of complications; extraperitoneal perforation with pneumoretroperitoneum and subcutaneous emphysema being an extremely rare example.We report such a case in a57 year old woman who presented to the emergency department with abdominal pain and diffuse chest, neck and facial surgical emphysema following a routine colonoscopy with hot snarepolypectomy. Pain in the Neck Following Colonoscopy

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Endoscopic Perforation of The Colon: Lessons From A 10-Year Study

Cited by 369 publications

References 22 publications

Adverse events of computed tomography colonography: An Italian National Survey

Adverse events of computed tomography colonography: An Italian National Survey

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

Pain in the Neck Following Colonoscopy

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