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Rectus abdominis muscle abscess after performing colonoscopy-A case report.
Maryam Soheilipour1, Elham Tabesh1, Mahshad Afsharzadeh2
1Isfahan Gastroenterology and Hepatology Research Center (IGHRC) Isfahan University of Medical Sciences Isfahan Iran.
Clinical Case Reports
|February 28, 2024
Summary
Colonoscopy with polypectomy can rarely lead to Rectus Abdominis muscle abscess (RAMA). Careful abdominal pressure application during the procedure is crucial to mitigate this rare complication.
Area of Science:
- Gastroenterology
- Surgical Complications
- Infectious Diseases
Background:
- Endoscopic polypectomy is a standard procedure for preventing colorectal cancer.
- While generally safe, complications such as Rectus Abdominis muscle abscess (RAMA) can occur.
- RAMA is a pyomyositis complication of rectus sheath hematoma, with predisposing factors including trauma and diabetes.
Observation:
- A case report details a 74-year-old patient developing RAMA post-colonoscopy and polypectomy.
- The patient underwent procedures involving abdominal pressure techniques without immediate complications.
- Diagnosis was confirmed via CT scan and ultrasound-guided drainage.
Findings:
- Colonoscopy and polypectomy, particularly with abdominal pressure, can precipitate RAMA.
- RAMA presents as an abscess in the Rectus Abdominis muscle.
- Treatment involves antibiotics and ultrasound-guided drainage.
Implications:
- Endoscopists must be vigilant for RAMA as a potential complication of colonoscopy.
- Awareness of RAMA and its predisposing factors is essential for patient safety.
- Careful application of abdominal pressure during endoscopic procedures may reduce the risk of RAMA.
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