title: Contained colonic perforation due to cecal retroflexion.
abstract: Complications of cecal retroflexion performed during colonoscopy have not previously been reported to occur. We report a case of contained colonic perforation secondary to using cecal retroflexion technique to examine the colon, and review available published reports of complications associated with this technique. We conclude that complications may rarely occur with use of cecal retroflexion, and that the clinical benefit of this technique is uncertain.
authors.affiliation: Zhuo Geng, Department of Internal Medicine, Case Western Reserve University - Metrohealth Medical Center, Cleveland, OH 44109, United States.
authors.forename: Zhuo
authors.initials: Z
authors.lastname: Geng
authors.affiliation: Zhuo Geng, Department of Internal Medicine, Case Western Reserve University - Metrohealth Medical Center, Cleveland, OH 44109, United States.
authors.forename: Deepak
authors.initials: D
authors.lastname: Agrawal
authors.affiliation: Zhuo Geng, Department of Internal Medicine, Case Western Reserve University - Metrohealth Medical Center, Cleveland, OH 44109, United States.
authors.forename: Amit G
authors.initials: AG
authors.lastname: Singal
authors.affiliation: Zhuo Geng, Department of Internal Medicine, Case Western Reserve University - Metrohealth Medical Center, Cleveland, OH 44109, United States.
authors.forename: Stephen
authors.initials: S
authors.lastname: Kircher
authors.affiliation: Zhuo Geng, Department of Internal Medicine, Case Western Reserve University - Metrohealth Medical Center, Cleveland, OH 44109, United States.
authors.forename: Samir
authors.initials: S
authors.lastname: Gupta
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002432:Cecum; D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries*; D003111:Colonic Polyps / Q000175:diagnosis / Q000601:surgery*; D003113:Colonoscopy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Cecal retroflexion; Cecum; Colonoscopy