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Updated: Mar 23, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Contained colonic perforation due to cecal retroflexion
Zhuo Geng1, Deepak Agrawal1, Amit G Singal1
1Zhuo Geng, Department of Internal Medicine, Case Western Reserve University - Metrohealth Medical Center, Cleveland, OH 44109, United States.
Complications from cecal retroflexion during colonoscopy are rare but possible. This technique, used for colon examination, may lead to rare complications like contained colonic perforation.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
Background:
- Colonoscopy is a vital diagnostic tool.
- Cecal retroflexion is an advanced technique used to improve visualization of the cecum and colon.
Observation:
- A case of contained colonic perforation occurred following cecal retroflexion during colonoscopy.
- This complication was secondary to the use of the cecal retroflexion technique.
Findings:
- Complications associated with cecal retroflexion have not been previously reported.
- Published reports on complications related to this technique were reviewed.
- Rare complications, including colonic perforation, can occur with cecal retroflexion.
Implications:
- Clinicians should be aware of the potential for rare complications during colonoscopy with cecal retroflexion.
- The overall clinical benefit of routine cecal retroflexion remains uncertain.
- Further research may be needed to fully understand the risks and benefits of this endoscopic maneuver.
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