Related Experiment Video
Updated: Mar 2, 2026
06:46
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
185
Post-Colonoscopy Colonic Perforation Presenting With Subcutaneous Emphysema: A Case Report
Muhammad Khan1, Muhammad Ijaz1, Sumera Bukhari1
1Department of Internal Medicine, Saint Francis Medical Center, Seton Hall University, Trenton, NJ, USA.
Gastroenterology Research
|May 13, 2017
Summary
Colonoscopy complications, though rare, can be serious. This case highlights a rare post-colonoscopy perforation successfully treated conservatively, emphasizing careful patient management.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Colonoscopy is a vital diagnostic and therapeutic tool.
- Serious complications, including colonic perforation, can occur but are infrequent.
- Complication rates are influenced by physician skill and procedure indications.
Observation:
- A rare case of colon perforation following colonoscopy is presented.
- The patient exhibited subcutaneous emphysema and free air in the mediastinum and peritoneum.
- Initial presentation mimicked more severe intra-abdominal pathology.
Findings:
- The colon perforation was successfully managed conservatively.
- The patient experienced complete resolution of symptoms without surgical intervention.
- Conservative management is a viable option for select post-colonoscopy perforations.
Implications:
- Highlights the importance of recognizing rare presentations of colonoscopy complications.
- Suggests conservative management can be effective for specific types of colon perforations.
- Underscores the need for continued vigilance and skilled assessment in post-procedural care.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
855
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
855
01:22Esophageal Perforation-I: Introduction
685
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
685
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
886
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
886
01:25Endoscopic Procedures II: Colonoscopy
930
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
930
01:27Pneumothorax-II
1.2K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.2K
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
1.3K
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.3K