Colonic perforation during screening CT colonography using automated CO2 insufflation in an asymptomatic adult.
CT colonography has become a potential alternative technique to optical colonoscopy for the detection of colorectal polyps and cancer. While considered safer than optical colonoscopy, CT colonography is not without risk. We report a case of colonic perforation during CT colonography using automated CO(2) insufflation and present procedural changes to help minimize the adverse effects of perforation when it occurs.
Bassett
John T
JT
Department of Gastroenterology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889, USA.
Liotta
Robert A
RA
Barlow
Duncan
D
Lee
Dong
D
Jensen
Donald
D
D000368:Aged; D002245:Carbon Dioxide; D023881:Colonography, Computed Tomographic / Q000009:adverse effects*; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging; D006801:Humans; D007327:Insufflation / Q000009:adverse effects; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male
D002245:Carbon Dioxide