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Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain
04:24

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Published on: June 6, 2025

A pain in the neck.

B Newstead1, J E Smith

  • 1Emergency Department, Derriford Hospital, Plymouth, UK. bethn@doctors.org.uk

Journal of the Royal Army Medical Corps
|July 23, 2010
PubMed
Summary
This summary is machine-generated.

Colonoscopic perforation is a rare complication of colonoscopy. This case highlights an unusual presentation of a perforated colonoscopy, where neck pain was the primary symptom, not abdominal pain.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Emergency Medicine

Background:

  • Colonoscopy is a widely used diagnostic procedure with a low complication rate.
  • Perforation is an uncommon but serious complication of colonoscopy, typically occurring at rates of 1 in 800-1500 procedures.
  • Recognizing colonoscopic perforation can be challenging, as symptoms may be delayed or atypical.

Observation:

  • A patient presented to the Emergency Department with neck pain following a colonoscopy.
  • This presentation is atypical, as colonoscopic perforation commonly manifests as abdominal pain.
  • The delayed recognition of the perforation contributed to the unusual symptom presentation.

Findings:

  • The patient's neck pain was attributed to a colonoscopic perforation.
  • This case underscores the potential for varied and non-obvious clinical presentations of colonoscopic complications.
  • Prompt diagnosis and management are crucial for favorable outcomes in gastrointestinal perforations.

Implications:

  • Healthcare providers should maintain a high index of suspicion for colonoscopic perforation, even with atypical symptoms like neck pain.
  • This case emphasizes the importance of thorough patient history and diagnostic workup in the Emergency Department.
  • Further research into recognizing subtle signs of colonoscopic perforation may improve patient outcomes.