[A case of iatrogenic tension pneumoperitoneum following colonoscopy in a patient with cytomegalovirus colitis].
Perforation of the colon occurs in 0.2 to 2% of all colonoscopic examinations. The most common sites of perforation are rectosigmoid junction and cecal area. Colonic perforation, leading to tension pneumoperitoneum in most cases, may be caused by direct trauma or pressurized air. It should be suspected in patients with hypotension, tachycardia and tachypnea during or after the colonoscopy. An 83-year-old woman was admitted due to pulmonary embolism and left cerebellar infarction. Colonoscopy was performed due to bloody diarrhea. She was diagnosed as cytomegalovirus (CMV) colitis. One week after the colonoscopy, colon perforation was incidentally found on ascending colon, and tension pneumoperitoneum occurred immediately after the procedure. The perforated site was primarily closed and the patient discharged 20 days later. Herein, we report a case of tension pneumoperitoneum following colonoscopy in a patient with CMV colitis.
Lee
Eun Sil
ES
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.
Jang
Myoung Kuk
MK
Park
So Young
SY
Lee
Jae Hyung
JH
Lee
Ja Young
JY
Lim
Eun Ju
EJ
Kim
Hyung Su
HS
Lee
Jun Ho
JH
Lee
Ja Young
JY
Kim
Kyung Ho
KH
Park
Yong Bum
YB
Park
Joon Yong
JY
Lee
Jin Heon
JH
Kim
Hak Yang
HY
Yoo
Jae Young
JY
D000369:Aged, 80 and over; D003092:Colitis / Q000175:diagnosis* / Q000821:virology; D003106:Colon / Q000293:injuries*; D003113:Colonoscopy / Q000009:adverse effects*; D003586:Cytomegalovirus Infections / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D011027:Pneumoperitoneum / Q000209:etiology*