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Delayed mid-ileal perforation secondary to acute-on-chronic ischaemia after a diagnostic colonoscopy

T N Chau1, C Ng, L K Lau

  • 1Dept. of Medicine, Princess Margaret Hospital, Hong Kong, China.

Insights

Remote small-bowel perforation after colonoscopy is rare. This case highlights a potential risk in patients with pre-existing ileal ischemia, where high colonoscopy air pressure may lead to perforation.

Area of Science:

  • Gastroenterology
  • Surgical complications

Background:

  • Diagnostic colonoscopy is a common endoscopic procedure.
  • Bowel perforation is a rare but serious complication of colonoscopy.
  • Remote perforations, distant from the colonoscope's passage, are exceptionally uncommon.

Observation:

  • A 61-year-old male presented with bloody diarrhea and underwent diagnostic colonoscopy.
  • Within 24 hours, he developed symptoms of dynamic ileus.
  • Mid-ileal perforation was diagnosed seven days post-procedure.

Findings:

  • The patient had underlying chronic ischemia of the mid-ileum.
  • High insufflation pressure during colonoscopy is hypothesized to have exacerbated the compromised blood flow.
  • This led to ischemic necrosis and subsequent perforation at a remote small bowel site.

Implications:

  • This case represents the first reported instance of small-bowel perforation following colonoscopy attributed to pre-existent ileal ischemia.
  • Clinicians should consider the risk of remote bowel perforation in patients with compromised mesenteric blood flow.
  • Further research may be warranted to identify risk factors and optimize colonoscopy techniques to prevent such rare complications.

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