Pneumoretroperitoneum, Pneumomediastinum, Subcutaneous Emphysema After a Rectal Endoscopic Mucosal Resection
نویسندگان
چکیده
An endoscopic mucosal resection (EMR) is an effective and safe therapeutic technique for treating a patient with a laterally-spreading tumor (LST). Colonoscopic-procedure-related complications are noted to be about 2.8% worldwide, and a perforation is the most common. Most colon perforations cause pneumoperitoneum. However, a perforation within the retroperitoneal portion of the colon (rectum and some of sigmoid colon) may cause an extraperitoneal perforation, and the leaking free air may induce pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema, depending on the amount of discharged air. Herein, we present the case of a patient with an extraperitoneal colon microperforation which manifested as pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema after an EMR for a sigmoid LST, which was successfully treated with medical treatment and endoscopic clipping.
منابع مشابه
Pneumothorax, pneumomediastinum, pneumoperitoneum and extensive subcutaneous emphysema resulting from endoscopic mucosal resection secondary to colonoscopy: A case report.
Rectal perforation is an unusual complication of therapeutic colonoscopy. The present study reports the case of a patient with a rare manifestation of pneumothorax, pneumomediastinum, pneumoperitoneum and extensive subcutaneous emphysema that resulted from an endoscopic mucosal resection following a colonoscopy of the rectum. Only 3 cases of colonic perforation and 1 case of rectal perforation ...
متن کاملPneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema after ultrathin endoscopy.
dysphagia over a 2-month period. Transnasal endoscopy with an ultrathin endoscope (Fujinon EG-530N; Fujinon, Wayne, New Jersey, USA) was used. An ulcerative tumor was found in the middle esophagus (●" Fig. 1), and the biopsy revealed squamous cell carcinoma. A feeding tube was placed over a guidewire. A chest computed tomography (CT) scan was performed the next day to evaluate the esophageal ca...
متن کاملSubcutaneous Emphysema, Pneumomediastinum, Pneumoretroperitoneum, and Pneumoscrotum: Unusual Complications of Acute Perforated Diverticulitis
Pneumomediastinum, and subcutaneous emphysema usually result from spontaneous alveolar wall rupture and, far less commonly, from disruption of the upper airways or gastrointestinal tract. Subcutaneous neck emphysema, pneumomediastinum, and retropneumoperitoneum caused by nontraumatic perforations of the colon have been infrequently reported. The main symptoms of spontaneous subcutaneous emphyse...
متن کاملPneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema after ERCP.
cytopenia or coagulopathy. Dieulafoy’s lesion is an uncommon cause of major GI bleeding, and it may be difficult to recognize. It consists of an arteriole that protrudes through a tiny mucosal defect, usually within 6 cm of the gastroesophageal junction on the lesser curve of the stomach. Despite widespread awareness of this entity, it remains a diagnostic challenge for gastroenterologists beca...
متن کاملneum, and subcutaneous emphysema complicating ERCP with sphincterotomy is reported. A 56−year−old woman with acute cholan− gitis underwent ERCP with sphinctero− tomy and extraction of the choledochal
giopancreatography (ERCP) and sphinc− terotomy is an essential diagnostic and therapeutic modality for biliary and pan− creatic diseases, it carries significant mor− bidity. A rare case of bilateral pneumo− thorax along with pneumomediastinum, pneumoperitoneum, pneumoretroperito− neum, and subcutaneous emphysema complicating ERCP with sphincterotomy is reported. A 56−year−old woman with acute c...
متن کامل