Delayed Mid-Ileal Perforation Secondary to Acute-on-Chronic Ischaemia after a Diagnostic Colonoscopy

Perforation occurring at a remote site of the bowel after diagnostic colonoscopy is rare. A 61-year-old man presenting with bloody diarrhoea underwent colonoscopy. A dynamic ileus developed in less than 1 day, and mid-ileal perforation occurred 7 days after the procedure. It is suggested that high a...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 1998, Vol.33 (9), p.1002-1004
Main Authors: CHAU, T.-N, LAU, C. N. L.-K, LAI, S.-T, YUEN, H
Format: Article
Language:English
Subjects:
Acute Disease
Biological and medical sciences
Chronic Disease
Colonoscopy - adverse effects
Gastroenterology. Liver. Pancreas. Abdomen
Gastrointestinal Hemorrhage - pathology
Humans
Ileal Diseases - etiology
Ileum - blood supply
Intestinal Obstruction - etiology
Intestinal Perforation - etiology
Ischemia - complications
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:Perforation occurring at a remote site of the bowel after diagnostic colonoscopy is rare. A 61-year-old man presenting with bloody diarrhoea underwent colonoscopy. A dynamic ileus developed in less than 1 day, and mid-ileal perforation occurred 7 days after the procedure. It is suggested that high air pressure during colonoscopy further compromised the reduced blood flow in the mid-ileum, which had underlying chronic ischaemia, leading to perforation. Our patient constitutes the first reported case of small-bowel perforation after colonoscopy due to pre-existent ileal ischaemia.
ISSN:0036-5521
1502-7708
DOI:10.1080/003655298750027065