Mechanical small bowel obstruction precipitated by colonoscopy.
Mechanical small bowel obstruction (SBO) is rare complication of colonoscopy. We present a patient who developed SBO 24 h after surveillance colonoscopy. Four years prior to this procedure, he had undergone augmentation cecocystoplasty with continent ileal conduit. He subsequently underwent laparotomy and lysis of a band adhesion that caused extrinsic compression of the ileum proximal to ileotransverse colostomy. We further review the literature, describe the salient features of colononoscopy-induced bowel obstruction, and identify the risk factors for this unusual complication.
Raghavendran
K
K
Department of Surgery, State University of New York at Buffalo, Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215, USA. kraghave@ecmc.edu
Novak
J M
JM
Amodeo
J L
JL
Kulaylat
M N
MN
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D002432:Cecum / Q000601:surgery; D003113:Colonoscopy / Q000009:adverse effects*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D007813:Laparotomy; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D012307:Risk Factors; D000267:Tissue Adhesions / Q000150:complications / Q000601:surgery*; D014547:Urinary Diversion; D014839:Vomiting / Q000209:etiology