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Case Report: Rectal perforation during CT colonography.

Marianna Zukiwskyj¹, Yasser Arafat²

¹Department of Surgery, Rockhampton Hospital, Rockhampton, Australia.

|March 29, 2016

Summary

This summary is machine-generated.

Computer tomography colonoscopy (CTC) is a low-risk screening tool, but perforation can occur. This case shows that rectal perforation from CTC can be successfully managed non-operatively with bowel rest and antibiotics, even in older patients.

Keywords:

CT Colonography CTC Rectal perforation

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Area of Science:

Gastroenterology
Radiology
Colorectal Cancer Screening

Background:

Computer tomography colonoscopy (CTC) is a widely used diagnostic tool for colorectal symptoms and cancer screening.
While generally considered low-risk, colonic perforation is a known, significant complication of CTC.
Optical colonoscopy also carries a risk of perforation, necessitating comparison with CTC complication rates.

Purpose of the Study:

To report a case of rectal perforation following CTC.
To discuss the non-operative management of this rare complication.
To compare the incidence of perforation in CTC versus optical colonoscopy.

Main Methods:

A case report of an 81-year-old female patient who underwent CTC for colorectal cancer screening after failed optical colonoscopy.
Diagnosis of rectal perforation confirmed by CTC, revealing pararectal air.
Non-operative management initiated, including bowel rest and antibiotics.

Main Results:

The patient experienced rectal perforation during CTC.
Despite the perforation, the patient presented with minimal symptoms.
Successful non-operative treatment was achieved with conservative measures.

Conclusions:

Perforation during CTC is an infrequent complication.
The incidence of CTC-induced perforation is lower than that of optical colonoscopy.
Non-operative management is a viable and successful strategy for CTC-related perforations in the absence of severe symptoms.