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Perforation causing abdominal compartment syndrome after colonoscopic polypectomy: A case report
Ying-Chun Lin1, Jen-Yin Chang1, Chen-Han Wu1
1Department of Anesthesiology, Mackay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City 10449, Taiwan; Mackay Medicine, Nursing and Management College, No. 92, Shengjing Rd., Beitou Dist., Taipei City 11260, Taiwan; Mackay Medical College, No. 46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City 25245, Taiwan.
International Journal of Surgery Case Reports
|July 15, 2019
Summary
Colonoscopy perforation can lead to abdominal compartment syndrome (ACS), a serious condition causing organ dysfunction. Early recognition and surgical intervention are crucial for managing this rare complication.
Area of Science:
- Gastroenterology
- Surgical Complications
- Critical Care Medicine
Background:
- Bowel perforation is a known risk of colonoscopy, particularly after polypectomy.
- Perforation can precipitate abdominal compartment syndrome (ACS), leading to multi-organ dysfunction.
- ACS presents with symptoms like abdominal distension, respiratory distress, and hypotension.
Purpose of the Study:
- To report a case of ACS following colonoscopic polypectomy.
- To highlight the diagnostic and management challenges of this rare complication.
- To emphasize the importance of timely intervention.
Main Methods:
- Case presentation of a female patient who developed ACS post-colonoscopy.
- Diagnostic workup including physical examination findings.
- Intervention involved attempted catheter decompression and emergent laparotomy for bowel repair.
Main Results:
- The patient presented with severe symptoms consistent with ACS after colonoscopic polypectomy.
- Initial decompression with a catheter was unsuccessful due to kinking.
- Surgical repair of the cecal perforation led to successful resolution of ACS and full recovery.
Conclusions:
- Colonoscopy perforation is a potential cause of ACS, requiring prompt recognition.
- Effective management necessitates emergent decompression and surgical intervention.
- Early diagnosis and treatment are vital to prevent severe outcomes and organ dysfunction.
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