Pneumatic perforation of the colon during colonoscopy. Is the hypermobile right colon a risk factor?
Perforation of the colon by pneumatic injury during colonoscopy is a rare complication. Intraoperative observations of a patient who developed massive cecal distention, pneumatosis coli and severe pneumoperitoneum during colonoscopy suggest that an isolated, air-trapping colonic segment is a factor in the mechanism of such injury. The possibility that a poorly fixed, hypermobile cecum and right colon predispose to such injury by air insufflation during colonoscopy is discussed.
D000388:Air; D002432:Cecum / Q000293:injuries*; D003106:Colon / Q000473:pathology / Q000503:physiopathology*; D003113:Colonoscopy / Q000009:adverse effects*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000209:etiology; D012306:Risk