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Post-colonoscopy appendicitis: A case report and systematic review

Darcy Shaw1, Gabriel Gallardo, Marc D Basson

  • 1Darcy Shaw, Gabriel Gallardo, Marc D Basson, Department of Surgery, College of Human Medicine, Michigan State University, Lansing, MI 48906, United States.

World Journal of Gastrointestinal Surgery
|November 2, 2013
PubMed

Insights

Acute appendicitis after colonoscopy is rare but possible. Prompt diagnosis and considering nonoperative management are key for this uncommon complication.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Colonoscopy is a common procedure with low morbidity.
  • Infrequent complications necessitate awareness for prompt diagnosis and management.
  • Perforation is a known complication, while appendicitis post-colonoscopy is extremely rare.

Purpose of the Study:

  • To review treatment strategies for post-colonoscopy appendicitis.
  • To provide guidance on nonoperative management for this rare complication.
  • To increase awareness of pericolonoscopy appendicitis.

Main Methods:

  • Literature review of case studies and treatment approaches.
  • Analysis of diagnostic challenges in post-colonoscopy pain.
  • Evaluation of nonoperative management strategies.

Main Results:

  • Post-colonoscopy appendicitis is an uncommon event with an unclear cause-effect relationship.
  • Diagnosis can be challenging, as mild symptoms and negative contrast studies do not rule out appendicitis.
  • Treatment strategies have varied, with evolving roles for nonoperative management.

Conclusions:

  • Awareness of post-colonoscopy appendicitis is crucial for timely diagnosis.
  • Nonoperative management may be a viable option in select cases.
  • Optimal treatment strategies require further clarification through case reviews and literature analysis.
Keywords:
AppendicitisColonoscopy complications

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