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Jejunal perforation: a complication of colonoscopy
S Nijhawan1, R R Rai, N Bhargava
1Department of Gastroenterology, S.M.S. Medical College, Jaipur, India.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|October 1, 1995
Summary
Small bowel perforation is a rare complication of colonoscopy. This case highlights a unique instance of small intestine injury occurring after a standard colonoscopy procedure.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Surgical Complications
Background:
- Fibreoptic endoscopy, including colonoscopy, is a common diagnostic and therapeutic tool.
- Perforation of a hollow viscus is a known but infrequent complication of endoscopic procedures.
- Most reported perforations following colonoscopy involve the large intestine.
Observation:
- This report details a rare case of small bowel perforation.
- The perforation occurred subsequent to a colonoscopy procedure.
- This contrasts with typical colonoscopy-related perforations which affect the large intestine.
Findings:
- Colonoscopy can lead to perforation of the small intestine, not exclusively the large intestine.
- This case expands the known spectrum of gastrointestinal injury from colonoscopy.
- The mechanism of small bowel injury during colonoscopy requires further investigation.
Implications:
- Endoscopists should maintain a high index of suspicion for small bowel injury after colonoscopy.
- Diagnostic and management strategies may need to be adapted for small bowel perforations.
- Further research is needed to understand the incidence and risk factors for this rare complication.