scholarly journals Post colonoscopy colonic perforation with parietal abscess: a rare case report

2021 ◽  
Vol 8 (10) ◽  
pp. 3185
Author(s):  
Manoj K. Choudhury ◽  
Utpal Baruah ◽  
S. K. M. Azharuddin
Keyword(s):  
Colonic Perforation ◽  
Retroperitoneal Abscess ◽  
Sensitivity Testing ◽  
Diagnostic Colonoscopy ◽  
Conservative Care ◽  
Rare Case Report ◽  
Intravenous Hydration ◽  
Colon And Rectum ◽  
The Subject ◽  
Contrast Ct

Colonoscopy is a common method of diagnosing colon and rectum illnesses. Complications from colonoscopy are rare. However, perforation is one of the most common problems observed. The incidence is 0.005-0.085 percent. Extraperitoneal and mixed postcolonoscopy colonic perforations are classified as intraperitoneal, extraperitoneal and both combined. Extraperitoneal perforation is rare and frequently accompanied with subcutaneous emphysema and retroperitoneal abscess. Contrast CT scan is the most effective diagnostic and therapy tool. A parietal abscess after colonoscopy is quite rare. Only one incidence of post-colonoscopy retroperitoneal colonic perforation with parietal abscess has been reported. An unusual case of colonic perforation after diagnostic colonoscopy was presented with a parietal abscess on the left iliac area. The patient, a 63-year-old diabetic male, had a diagnostic colonoscopy for intestinal irregularity. Afternoon severe ache over left iliac region brought patient to doctor. Nothing notable was discovered. So, they prescribed symptomatic drugs. Symptomatic medications were prescribed but without any relief. An abdominal contrast CT was recommended to him by his doctor after a few days. This retro muscular accumulation in the left transverses abdominis muscle communicated with the sigmoid colon. No signs of peritonitis or septicemia. Patient was stable. The aspirated fluid was sent for culture and sensitivity testing, and intravenous hydration and antibiotics were commenced. Patient tolerated conservative care. The subject was discharged in 2 weeks. Diagnosis and treatment of perforation are critical to recovery.

scholarly journals Tension Pneumothorax, Pneumoperitoneum, and Cervical Emphysema following a Diagnostic Colonoscopy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Pourmand ◽  
Hamid Shokoohi
Keyword(s):  
Rare Case ◽  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Tube Thoracostomy ◽  
Diagnostic Colonoscopy ◽  
Rare Case Report ◽  
Initial Injury ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Anatomical Connection

Colonoscopy is currently a widespread procedure used in screening for colorectal cancer. Iatrogenic colonic perforation during colonoscopy is a serious and potentially life-threatening complication that can cause significant morbidity and mortality. “Triple pneumo” (a combination of pneumothorax, pneumomediastinum, and pneumoperitoneum) following colonoscopy is a rare but a serious condition requiring immediate diagnosis and emergent intervention. In majority of these cases a colonic perforation is the initial injury that is followed by pneumothorax and pneumomediastinum through the potential anatomical connection with retroperitoneal and mediastinal spaces. In this rare case report we are presenting a case of “triple pneumo” with no evidence of colonic perforation. This patient developed a simultaneous pneumoperitoneum, pneumomediastinum, and a tension pneumothorax requiring immediate tube thoracostomy. This case may raise the awareness on the likelihood of these serious complications after colonoscopy.

Su1486 The Comparison of Endoscopic Closure With Surgical Operation in Iatrogenic Colonic Perforation During Diagnostic Colonoscopy

2012 ◽  
Vol 75 (4) ◽  
pp. AB349
Author(s):  
Kwang an Kwon ◽  
Jong Joon Lee ◽  
Jung Ho Kim ◽  
Yoon Jae Kim ◽  
Chung Jun Won ◽  
...  
Keyword(s):  
Colonic Perforation ◽  
Surgical Operation ◽  
Diagnostic Colonoscopy ◽  
Endoscopic Closure

Tension Pneumothorax Secondary to Colonic Perforation During Diagnostic Colonoscopy: Report of a Case

Surgery Today ◽  
2006 ◽  
Vol 36 (5) ◽  
pp. 478-480 ◽  
Author(s):  
Chad G. Ball ◽  
Andrew W. Kirkpatrick ◽  
Shawn Mackenzie ◽  
Sean M. Bagshaw ◽  
Adam D. Peets ◽  
...  
Keyword(s):  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Diagnostic Colonoscopy

scholarly journals Large-sized iatrogenic colonic perforation during diagnostic colonoscopy

2018 ◽  
Vol 7 (2) ◽  
pp. 94-97
Author(s):  
Seung Yong Shin ◽  
Eun Jung Park ◽  
Jae Jun Park
Keyword(s):  
Colonic Perforation ◽  
Diagnostic Colonoscopy

scholarly journals Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift

2018 ◽  
Vol 04 (01) ◽  
pp. e7-e13 ◽  
Author(s):  
Sala Abdalla ◽  
Rupinder Gill ◽  
Gibran Yusuf ◽  
Rosaria Scarpinata
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Interventional Procedures ◽  
Colonic Perforation ◽  
Lower Limbs ◽  
Safe Procedure ◽  
Diagnostic Colonoscopy ◽  
Mediastinal Shift ◽  
Radiological Images ◽  
Body Compartments

AbstractWhile colonoscopy is generally regarded as a safe procedure, colonic perforation can occur and the risk of this is higher when interventional procedures are undertaken. The presentation may be acute or delayed depending on the extent of the perforation. Extracolonic gas following colonic perforation can migrate to several body compartments that are embryologically related and it has previously been reported in the thorax, mediastinum, neck, scrotum, and lower limbs. This review discusses in detail the anatomical pathways that led to a rare case of widespread subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and mediastinal shift from colonic perforation during a diagnostic colonoscopy. This is further supported by a description of the radiological images.

scholarly journals SUN-192 Spontaneous Adrenal Hemorrhage in a Patient with Antiphospholipid Syndrome on Rivaroxaban: A Potentially Fatal Complication

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Daniela Maria DiCenso ◽  
Carlos A Penaherrera ◽  
Alejandro Ayala
Keyword(s):  
Antiphospholipid Syndrome ◽  
Adrenal Glands ◽  
Oral Anticoagulants ◽  
Adrenal Hemorrhage ◽  
Post Contrast ◽  
Severe Fatigue ◽  
Bilateral Adrenal Hemorrhage ◽  
Intravenous Hydration ◽  
History Of ◽  
Contrast Ct

Abstract Introduction: Primary Adrenal insufficiency is an uncommon complication of antiphospholipid syndrome, with an incidence of 0.4% [2]. It is often secondary to bilateral adrenal hemorrhage. We present a case of bilateral adrenal hemorrhage in a patient with APLS on anticoagulation with rivaroxaban. Case: 46-year-old m with a history of antiphospholipid syndrome, recently transitioned from warfarin to rivaroxaban for anticoagulation, who presented to the ED after a syncopal episode following a prior episode of abdominal pain with an unremarkable work-up. He subsequently developed severe fatigue, dizziness, headaches, nausea and 15 lbs weight loss. On presentation, the patient was hypotensive(72/45 mmHg) and tachycardic. Intravenous hydration was started with minimal response. Initial laboratory testing showed serum sodium of 121mmol/L, potassium of 5.5mmol/L and random cortisol of 0.8mcg/dL. The patient was admitted to the intensive care unit where he was started on vasopressors and hydrocortisone 50 mg IV every 8 hours. A non-contrast CT of the abdomen and pelvis showed thickening of the adrenal glands with decreased attenuation. MRI of the abdomen showed hyper-intensity of the adrenal glands bilaterally (T1 images), without post-contrast enhancement suggestive of bilateral adrenal hemorrhage. His electrolytes normalized, and he was successfully discharged home on hydrocortisone and fludrocortisone replacement with outpatient follow-up. Discussion: Atraumatic bilateral adrenal hemorrhage is rare, but remains one of the most common endocrine-related complications of antiphospholipid syndrome (APLS). The venous anatomical configuration of the adrenal gland increases risk of thrombotic hemorrhagic infarction[1]. Patients with APLS are commonly anticoagulated to prevent thrombosis. The ideal anticoagulation regimen remains controversial. Only three other cases of spontaneous bilateral adrenal hemorrhage on patients with APLS using new oral anticoagulants (NOACs) were reported. The use of NOACs seem to increase the already-elevated risk of adrenal hemorrhage seen in patients with APLS. References: 1. Aldaajani, H. et al. Bilateral adrenal hemorrhage in antiphospholipid syndrome: Anticoagulation for the treatment of hemorrhage. Saudi Med J. 2018; 39(8): 829-833. 2. Cervera R, Piette JC, Font J, Khamashta MA, Shoenfeld Y, Camps MT, et al. Antiphospholipid syndrome: Clinical and immunologic manifestations and patterns of disease expression in a cohort of 1,000 patients. Arthritis Rheum. 2002;46:1019-27.

scholarly journals Clinical signs of retroperitoneal abscess from colonic perforation

Medicine ◽  
2018 ◽  
Vol 97 (45) ◽  
pp. e13176 ◽  
Author(s):  
Paolo Ruscelli ◽  
Claudio Renzi ◽  
Andrea Polistena ◽  
Alessandro Sanguinetti ◽  
Nicola Avenia ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Colonic Perforation ◽  
Retroperitoneal Abscess

scholarly journals Rectal migration of Ventriculo-peritonial shunt: a rare case report

2018 ◽  
Vol 32 (2) ◽  
pp. 303-305
Author(s):  
Anand Sharma ◽  
Avdesh Shukla ◽  
S.N. Iyengar
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Management Strategy ◽  
Rare Case ◽  
Rare Complication ◽  
Colonic Perforation ◽  
Review Of Literature ◽  
Vp Shunt ◽  
Rare Case Report ◽  
The Common

Abstract Colonic perforation following ventriculoperitoneal shunt is a rare complication. The common treatment is to remove the perforating catheter and replace with new one. In this case report we reported a rare case of colonic perforation following VP shunt and its anal migration. We have discussed its pathogenesis, management strategy and review of literature.

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