TR
EN
A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary?
Öz
Colonoscopy-related colonic perforation may occur through pneumatic or mechanical impact, or due to various therapeutic procedures. Mucosal herniation may also develop because of the increase in post-air insufflation pressure. This condition may render the mucosa air-permeable without a distinct focal perforation point.
A 63-year-old female patient, who had had surgery for malign rectal neoplasm five years before and followed-up for radiation proctitis, presented to the emergency department three days after she had control colonoscopy with complaints of a gradually deteriorating facial and cervical swelling along with respiratory distress that developed a day after the procedure. The results of the patient’s analyses revealed that she had colonoscopy-related pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum, cervical and facial subcutaneous emphysema. Medical follow-up was planned for the patient since there were no signs of peritonitis in her physical examination, her overall condition was well, and because a long time had passed after the procedure. The patient was discharged after a two-day follow-up with no problems.
Colonoscopy-related intraperitoneal or extraperitoneal free air can both be seen immediately during the procedure and it can develop a long time after the procedure as well. Unnecessary surgical procedures can be prevented through medical follow-up under close monitoring in such patients particularly if they do not have peritonitis signs or symptoms and their overall condition is well.
Anahtar Kelimeler
Kaynakça
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Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Olgu Sunumu
Yayımlanma Tarihi
19 Mart 2024
Gönderilme Tarihi
3 Mayıs 2021
Kabul Tarihi
9 Temmuz 2021
Yayımlandığı Sayı
Yıl 2024 Cilt: 63 Sayı: 1
APA
Taşcı, H. İ., Karagülle, E., & Turk, E. (2024). A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary? Ege Tıp Dergisi, 63(1), 143-146. https://doi.org/10.19161/etd.932019
AMA
1.Taşcı Hİ, Karagülle E, Turk E. A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary? ETD. 2024;63(1):143-146. doi:10.19161/etd.932019
Chicago
Taşcı, Halil İbrahim, Erdal Karagülle, ve Emin Turk. 2024. “A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary?”. Ege Tıp Dergisi 63 (1): 143-46. https://doi.org/10.19161/etd.932019.
EndNote
Taşcı Hİ, Karagülle E, Turk E (01 Mart 2024) A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary? Ege Tıp Dergisi 63 1 143–146.
IEEE
[1]H. İ. Taşcı, E. Karagülle, ve E. Turk, “A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary?”, ETD, c. 63, sy 1, ss. 143–146, Mar. 2024, doi: 10.19161/etd.932019.
ISNAD
Taşcı, Halil İbrahim - Karagülle, Erdal - Turk, Emin. “A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary?”. Ege Tıp Dergisi 63/1 (01 Mart 2024): 143-146. https://doi.org/10.19161/etd.932019.
JAMA
1.Taşcı Hİ, Karagülle E, Turk E. A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary? ETD. 2024;63:143–146.
MLA
Taşcı, Halil İbrahim, vd. “A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary?”. Ege Tıp Dergisi, c. 63, sy 1, Mart 2024, ss. 143-6, doi:10.19161/etd.932019.
Vancouver
1.Halil İbrahim Taşcı, Erdal Karagülle, Emin Turk. A Case of Post-Colonoscopy Intra/Extraperitoneal Free Air: Is Surgical Treatment Always Necessary? ETD. 01 Mart 2024;63(1):143-6. doi:10.19161/etd.932019