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The bubbling neck: A rare complication from colonoscopy.

P Andrejevic¹, D Gatt¹

¹Mater Dei Hospital, Malta.

Journal of Surgical Case Reports

|June 25, 2014

Summary

A rare case of colonoscopy micro-perforation caused widespread air distribution throughout the body. This condition, though serious, was successfully managed with conservative treatment.

Area of Science:

Gastroenterology
Medical Imaging
Surgical Complications

Background:

Diagnostic colonoscopy is a common procedure for evaluating the colon.
Complications, though rare, can occur during colonoscopy.
Pneumoperitoneum, or free air, can result from gastrointestinal tract perforation.

Purpose of the Study:

To report a rare case of micro perforation during diagnostic colonoscopy.
To highlight the extensive air distribution in all body compartments secondary to the perforation.
To discuss the successful conservative management of this rare complication.

Main Methods:

A 70-year-old female patient presented with "bubbling neck" and abdominal discomfort post-colonoscopy.
Clinical examination revealed hemodynamic stability.

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Imaging studies confirmed free air in all body compartments.

Main Results:

The patient experienced a micro perforation during a diagnostic colonoscopy.
Massive subcutaneous and intra-abdominal emphysema was observed.
The patient remained hemodynamically stable throughout.

Conclusions:

Micro perforation during colonoscopy can lead to extensive pneumoperitoneum.
Conservative management can be successful in select cases of colonoscopy-induced perforation.
Prompt recognition and monitoring are crucial for managing such rare complications.