Actual colonic perforation in virtual colonoscopy: report of a case.
Computed tomography colonography, also termed virtual colonoscopy, is a new imaging method to investigate the colon, which may be a potential alternative to the conventional endoscopic colonoscopy in some cases. The high safety profile of this imaging method was considered as an additional advantage of this procedure. A case of colonic perforation in computed tomography colonography is presented, highlighting a potential risk related to this procedure. It is assumed that perforation was the result of overinflation of air into an obstructed colon caused by a lesion at the rectosigmoid junction. Thus, it is suggested that in such cases, air insufflation should be gradual, thereby minimizing the risk of perforation.
Kamar
Moshe
M
Department of Surgery and Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.
Portnoy
Orith
O
Bar-Dayan
Avner
A
Amitai
Michal
M
Munz
Yaron
Y
Ayalon
Amram
A
Zmora
Oded
O
D000230:Adenocarcinoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D000368:Aged; D003082:Colectomy; D023881:Colonography, Computed Tomographic / Q000009:adverse effects*; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007327:Insufflation / Q000009:adverse effects; D007415:Intestinal Obstruction / Q000209:etiology; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D008113:Liver Neoplasms / Q000556:secondary*; D008297:Male; D016896:Treatment Outcome