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Post-polypectomy syndrome-a rare complication in colonoscopy procedures: a case report
Julián A Romo1, Jorge David Peña1, Laura A López1
1School of Medicine, Universidad del Rosario, Bogota D.C., Colombia.
Journal of Surgical Case Reports
|September 2, 2022
Summary
Post-polypectomy syndrome (PPS) is a rare complication after colonoscopy electrocoagulation. This case highlights its non-surgical management and favorable prognosis, avoiding unnecessary interventions.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Post-polypectomy syndrome (PPS) can occur after colonoscopic electrocoagulation, presenting with symptoms mimicking intestinal perforation.
- It results from a transmural burn irritating the serous membrane, but typically has a favorable prognosis.
Observation:
- A 55-year-old woman underwent endoscopic resection for an ascending colon polyp.
- Post-procedure, she experienced nausea, emesis, and right iliac fossa pain.
- Abdominal tomography revealed cecal wall thickening without pneumoperitoneum.
Findings:
- The patient was diagnosed with Post-polypectomy syndrome (PPS).
- Management included bowel rest, parenteral fluids, and antibiotics.
- The patient achieved full recovery.
Implications:
- Early suspicion of PPS is crucial to prevent unnecessary surgical interventions.
- Prompt medical management leads to favorable outcomes for this complication.
- This case underscores the importance of recognizing PPS in post-colonoscopy abdominal pain.
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