Perforated appendicitis after colonoscopy

Zhou, Xiao-cong; Huang, Chun-Wei; Dai, Yan-yan; Huang, Zhi-yang; Lou, Zheng

doi:10.1097/md.0000000000008747

Cited by 7 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Colonoscopy is a commonly used procedure, which can be both diagnostic and therapeutic [3][4][5][6]. Thus, it is a relatively safe procedure [3,6,7].…”

Section: Discussionmentioning

confidence: 99%

“…Colonoscopy is a commonly used procedure, which can be both diagnostic and therapeutic [3][4][5][6]. Thus, it is a relatively safe procedure [3,6,7]. Major complications such as perforation and post-colonoscopy bleeding have been shown to have incidences of 0.21% and 0.1% [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…There are several proposed mechanisms for PCA, including (1) preexisting subclinical appendiceal disease, (2) increased intraluminal pressure with insufflated air leading to obstruction of the orifice and appendiceal lengthening, (3) direct intubation of the appendiceal lumen by the colonoscope, (4) mucosal injury around the appendiceal lumen leading to inflammation, and (5) introduction of bowel contents/fecaliths into the appendix [3][4][5][6][7]10]. In our patient, there was no evidence of subclinical disease of the appendix, and the likely etiologies included increased intraluminal pressure insufflating the appendix.…”

Section: Case Reports In Gastroenterologymentioning

confidence: 99%

See 2 more Smart Citations

A Rapid Development of Post-Colonoscopy Appendicitis within Twelve Hours: A Case Report

Prince,

Huang,

Dayto

et al. 2024

Case Rep Gastroenterol

View full text Add to dashboard Cite

Introduction: Colon cancer has seen a steady decline in incidence due to increased colonoscopy use. We can assume that this increased use, results in a higher incidence of post-colonoscopy complications such postpolypectomy syndrome, perforation and post-colonoscopy appendicitis (PCA). In this report, we present a case of PCA presenting to the emergency department within 12 h of a screening colonoscopy. Case Presentation: Our patient, a 77-year-old male, underwent an uncomplicated screening colonoscopy and was discharged home after briefly being monitored without any complaints. Later that day, the patient presented to the emergency department complaining of acute generalized abdominal pain. On presentation, the patient was found to be hypertensive and febrile with a distended abdomen with right lower quadrant tenderness on examination. Laboratory investigations noted an elevated white blood cell count with no evidence of acute appendicitis or focal inflammatory changes on contrast-enhanced abdominal and pelvic computer tomography. The patient was subsequently admitted and developed worsening right lower quadrant abdominal pain and distention overnight. Due to this worsening clinical condition, the decision was made to proceed with a diagnostic laparoscopy. After frank pus was found laparoscopically around the cecum and appendix, it was then converted to an exploratory laparotomy. Subsequently, a perforated gangrenous appendix was found with an erythematous and indurated cecum. Conclusion: Major complications of colonoscopy can include perforation and/or post-colonoscopy bleeding which have been shown to have a respective incidence of 0.21% and 0.1%. With the anticipated rise in the number of colonoscopies, much rarer complications such as PCA with an incidence of less than 0.05% will be seen more frequently. Due to its nonspecific presentation, it is necessary for providers to consider PCA as an important differential for all patients presenting with abdominal pain after a colonoscopy.

show abstract

“…Colonoscopy is a commonly used procedure, which can be both diagnostic and therapeutic [3][4][5][6]. Thus, it is a relatively safe procedure [3,6,7].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Reports In Gastroenterologymentioning

confidence: 99%

See 1 more Smart Citation

A Rapid Development of Post-Colonoscopy Appendicitis within Twelve Hours: A Case Report

Prince,

Huang,

Dayto

et al. 2024

Case Rep Gastroenterol

View full text Add to dashboard Cite

show abstract

Pediatric Endoscopic Procedure Complications

Attard

Grima

Thomson

2018

Curr Gastroenterol Rep

View full text Add to dashboard Cite

Significant complications of endoscopy requiring emergency department or inpatient admission in otherwise healthy children are unusual, but more common with therapeutic procedures; risk from procedures increases incrementally with preoperative coexisting conditions. Duodenal hematoma is predominantly a pediatric endoscopic complication and is more likely in hematology-oncology patients. Air embolism is a well-defined endoscopic retrograde cholangiopancreatography (ERCP) complication in adults and is likely to increase in children with increased performance of pediatric ERCP. Increased physician expertise is the most often proposed countermeasure, especially in the context of endoscopy complications in the higher-risk patient and procedure. Endoscopy in children remains a very safe group of procedures, although a more detailed understanding of risk factors and ideal training and practice organization is lacking.

show abstract