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Fatal colonic explosion during colonoscopic polypectomy.

M A Bigard, P Gaucher, C Lassalle

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    This summary is machine-generated.

    A rare colonic explosion during colonoscopic polypectomy led to fatal hemorrhage. This case highlights risks associated with mannitol bowel prep and electrocautery, suggesting safer alternatives.

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    Area of Science:

    • Gastroenterology
    • Surgical Safety

    Background:

    • Colonoscopic polypectomy is a common procedure for polyp removal.
    • Bowel preparation is essential for clear visualization during colonoscopy.

    Observation:

    • A patient experienced a colonic explosion during snare removal of a cecal polyp.
    • High-frequency current was used for polyp removal.
    • Mannitol solution was used for bowel preparation.

    Findings:

    • The explosion resulted in uncontrollable hemorrhage.
    • The patient died despite emergency surgery and extensive blood transfusion.
    • This represents the first reported case of colonic explosion during polypectomy.

    Implications:

    • Routine use of carbon dioxide insufflation during polypectomy is recommended.
    • Avoidance of mannitol for bowel preparation is suggested to prevent similar incidents.
    • Enhanced safety protocols for colonoscopic procedures may be necessary.