TP1.2.7The stuck colonoscope

Abstract Background With the increased awareness and push for earlier diagnosis of colorectal cancer, number patients undergoing colonoscopy is increasing. Being a common condition, these will have herniae. We describe rare complication during Sigmoidoscopy in patient with an Inguinal hernia. The case A 75-year-old man was booked flexible sigmoidoscopy rectal bleeding. scope successfully inserted to Splenic flexure. During withdrawal, stopped moving. It still possible advance scope, but not withdraw. confirmed presence left inguinal Physical examination position on magnetic imager loop Various manoeuvres withdraw were unsuccessful. colleague called second opinion. came up plan maintain ‘long loop‘ hernia, by holding through scrotum allowing it slide withdrawal. This successful discharged. Discussion Incarceration hernia occurs when hernial defect permits entry exit leaving long position. configuration changes short loop, crowding defect, preventing from sliding. On searching literature, we found that this technique has been described Koltun et al known as “Pulley” technique. suggest colonoscopists are familiar