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Diagnostic Colonoscopy Leading to Perforated Appendicitis: A Case Report and Systematic Literature Review

Daniel Paramythiotis1, Konstantinia Kofina1, Vasileios Papadopoulos1

  • 1First Propedeutic Surgical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Case Reports in Gastrointestinal Medicine
|December 17, 2016
PubMed

Insights

Post-colonoscopy appendicitis is a rare complication. This case highlights perforated appendicitis occurring 24 hours after colonoscopy, emphasizing its importance in differential diagnosis for abdominal pain.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Intestinal perforation is a known risk of colonoscopy.
  • Appendiceal involvement, specifically perforated appendicitis post-colonoscopy, is exceptionally rare, with few cases documented.

Purpose of the Study:

  • To report a rare case of perforated appendicitis following colonoscopy.
  • To discuss the diagnostic and management considerations for this complication.

Main Methods:

  • A case report of a 60-year-old female presenting with abdominal pain post-colonoscopy.
  • Diagnostic imaging included CT scan, revealing appendiceal inflammation and free air.
  • Surgical intervention via laparotomy and appendectomy was performed.

Main Results:

  • The patient was diagnosed with perforated appendicitis 24 hours after colonoscopy.
  • Successful appendectomy was performed, and the patient recovered well.
  • Literature review of similar rare cases was conducted.

Conclusions:

  • Perforated appendicitis is a rare but serious complication that can occur after colonoscopy.
  • It should be considered in the differential diagnosis of acute abdominal pain following the procedure.

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