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Summary
Colonoscopy perforation is a rare complication, especially after pelvic surgery. A novel emergency treatment involving catheter insertion to release pneumoperitoneum rapidly stabilized a patient with colonic perforation.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Colonoscopy carries a risk of perforation, a known complication.
- Patients with prior pelvic/colonic surgery or diverticulosis face increased perforation risk.
Observation:
- A case of colonic perforation during diagnostic colonoscopy in adhesions post-pelvic surgery is presented.
- The patient experienced immediate vascular collapse and respiratory distress post-perforation.
Findings:
- Emergency treatment involved inserting a large bore catheter into the abdominal cavity.
- This released pneumoperitoneum, leading to an instantaneous return of vital signs.
Implications:
- This emergency intervention may be life-saving for patients with colonoscopy-induced perforation.
- Highlights the importance of prompt recognition and management of colon perforation during procedures.