Colon perforation, bilateral pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema complicating endoscopic polypectomy: anatomic and management considerations

H C Ho; S Burchell; P Morris; M Yu

Colon perforation, bilateral pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema complicating endoscopic polypectomy: anatomic and management considerations

Am Surg. 1996 Sep;62(9):770-4.

Authors

H C Ho¹, S Burchell, P Morris, M Yu

Affiliation

¹ University of Hawaii, Department of Surgery, Honolulu 96813-2427, USA.

PMID: 8751774

Abstract

A case of colonoscopic polypectomy complicated by perforation, pneumoperitoneum, bilateral pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema is presented. The anatomic basis for the various clinical presentations of extraluminal air following colonoscopy as well as the option of conservative therapy of select cases of perforation is discussed.

Publication types

Case Reports

MeSH terms

Aged
Cecal Neoplasms / surgery
Cecum / injuries*
Colonoscopy / adverse effects*
Endoscopy / adverse effects*
Humans
Intestinal Perforation / diagnostic imaging
Intestinal Perforation / etiology*
Intestinal Perforation / therapy
Intestinal Polyps / surgery
Male
Mediastinal Emphysema / etiology
Pneumopericardium / etiology
Pneumoperitoneum / etiology*
Pneumothorax / etiology*
Radiography
Subcutaneous Emphysema / etiology