Pneumoretroperitoneum, Pneumomediastinum, Subcutaneous Emphysema After a Rectal Endoscopic Mucosal Resection

被引:1
|
作者
Jung, Hee Cheul [1 ]
Kim, Hyun Jin [1 ]
Ji, Sung Bok [1 ]
Cho, Jun Hyeong [1 ]
Kwak, Ji Hye [1 ]
Lee, Chang Min [1 ]
Kim, Wan Soo [1 ]
Kim, Jin Ju [1 ]
Lee, Jae Min [1 ]
Lee, Sang Su [1 ]
机构
[1] Gyeongsang Natl Univ, Sch Med, Dept Internal Med, 15 Jinju Daero,816beon Gil, Jinju 52727, South Korea
关键词
Colonoscopy; Perforation; Pneumoretroperitoneum; Pneumomediastinum; Subcutaneous emphysema;
D O I
10.3393/ac.2016.32.6.234
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
An endoscopic mucosal resection (EMR) is an effective and safe therapeutic technique for treating a patient with a laterally-spreading tumor (LST). Colonoscopic-procedure-related complications are noted to be about 2.8% worldwide, and a perforation is the most common. Most colon perforations cause pneumoperitoneum. However, a perforation within the retroperitoneal portion of the colon (rectum and some of sigmoid colon) may cause an extraperitoneal perforation, and the leaking free air may induce pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema, depending on the amount of discharged air. Herein, we present the case of a patient with an extraperitoneal colon microperforation which manifested as pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema after an EMR for a sigmoid LST, which was successfully treated with medical treatment and endoscopic clipping.
引用
收藏
页码:234 / 238
页数:5
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