title: Perforation of a Long-standing Ileocolonic Anastomosis During Colonoscopy.
abstract: Colonoscopy is a valuable diagnostic and therapeutic procedure. Colonic perforation is a serious complication of colonoscopy that must be promptly recognized to limit morbidity and mortality. We present a 69-year-old woman who, during colonoscopy, had a perforation secondary to barotrauma of a long-standing ileocolonic anastomosis proximal to the point of colonoscopic intubation. To our knowledge, this is the first case report of a perforation of a well-established anastomosis proximal to the point of endoscope intubation during colonoscopy.
authors.affiliation: Department of Gastroenterology, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Christina J
authors.initials: CJ
authors.lastname: Tofani
authors.affiliation: Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Phillips
authors.affiliation: Department of Pathology, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Peter
authors.initials: P
authors.lastname: McCue
authors.affiliation: Department of Pathology, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Baliff
authors.affiliation: Department of Gastroenterology, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: David
authors.initials: D
authors.lastname: Kastenberg