Related Experiment Video
Updated: Jan 11, 2026
10:41
Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
2.6K
Delayed post-polypectomy perforation: A case report of a 65-year-old man at 54 days post-procedure
Donghyoun Lee1, Beom Jun Lee2, Jung Woo Yi3
1Department of Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju-si, Jeju-do, Republic of Korea.
Medicine
|November 18, 2025
Summary
Delayed post-polypectomy perforation (PPP) is rare, but this case shows it can occur weeks after colonoscopy. Early symptoms may mimic electrocoagulation syndrome, necessitating vigilance for late complications.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Post-polypectomy perforation (PPP) is an infrequent complication of colonoscopic polypectomy, typically manifesting within 24 hours.
- Delayed perforation, occurring days or weeks post-procedure, is exceptionally rare.
Purpose of the Study:
- To report a rare case of delayed post-polypectomy perforation (PPP) occurring 54 days after colonoscopic polypectomy.
- To emphasize the importance of considering late complications in patients with persistent abdominal symptoms post-polypectomy.
Main Methods:
- A 65-year-old male underwent hot snare polypectomy for a descending colon adenoma.
- Initial conservative management for suspected post-polypectomy electrocoagulation syndrome.
- Emergency subtotal colectomy for confirmed delayed PPP with colonic necrosis.
Main Results:
- The patient presented 54 days post-polypectomy with severe abdominal pain, free intraperitoneal air, and colonic necrosis.
- Surgical intervention confirmed delayed PPP.
- The patient recovered well with no symptoms at 6-month follow-up.
Conclusions:
- This case underscores that post-polypectomy perforation can present with significant delay, mimicking earlier complications.
- Clinicians must maintain a high index of suspicion for late PPP in patients with recurrent or unresolved abdominal issues after polypectomy.
More Related Videos
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
472
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:
472
01:22Esophageal Perforation-I: Introduction
401
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....
401
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
526
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...
526
01:25Endoscopic Procedures II: Colonoscopy
579
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:
579
01:29Appendicitis-II: Diagnostic Studies and Management
470
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
470
01:21Inflammatory Bowel Disease V: Surgical Management
429
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
429