title: Colonic perforation caused by direct trauma during computed tomographic colonography performed via end colostomy.
abstract: We report the case of a woman with a history of abdominoperineal resection for cancer, who had an inadvertent perforation during screening computed tomographic colonography performed via end colostomy. Revision of the stoma was promptly performed, which prevented a full laparotomy. We reviewed the literature on the subject and found that such perforations may be more common than previously thought. With appropriate precautions, such occurrences can be minimised in the future.
authors.affiliation: Department of General Surgery, Singapore General Hospital, Outram Road, Singapore 169608. the_gentleman82@hotmail.com
authors.forename: J Y
authors.initials: JY
authors.lastname: Teo
authors.forename: O W
authors.initials: OW
authors.lastname: Low
authors.forename: K S
authors.initials: KS
authors.lastname: Ho
mesh_terms: D057785:Catheters; D003106:Colon / Q000473:pathology / Q000601:surgery*; D023881:Colonography, Computed Tomographic / Q000009:adverse effects* / Q000379:methods; D015179:Colorectal Neoplasms / Q000473:pathology; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007420:Intestine, Large / Q000473:pathology; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed / Q000009:adverse effects* / Q000379:methods*