Bilateral tension pneumothorax during colonoscopy in a patient with chronic obstructive pulmonary disease: a case report

Abstract Colonoscopy is widely performed for the diagnosis and treatment of various colonic disorders and the screening and surveillance of colorectal neoplasia. According to research evidence, up to one-third of patients had at least 1 minor and transient gastrointestinal symptom after colonoscopy....

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical anesthesia 2016-11, Vol.34, p.432-435
Main Authors: Tseng, Wei-Cheng, MD, Yeh, Chun-Chang, MD, PhD, Jao, Shu-Wen, MD, Wu, Zhi-Fu, MD, Lin, Shinn-Long, MD, PhD
Format: Article
Language:English
Subjects:
Abdomen
Aged, 80 and over
Anesthesia
Anesthesia & Perioperative Care
Bilateral tension pneumothorax
Cardiopulmonary Resuscitation
Case reports
Chronic obstructive pulmonary disease
Colon, Sigmoid - diagnostic imaging
Colonoscopy
Colonoscopy - adverse effects
Colonoscopy - methods
Conscious Sedation
Family medical history
Humans
Hypnotics and Sedatives - administration & dosage
Injections, Intramuscular
Intestinal Volvulus - diagnosis
Intestinal Volvulus - diagnostic imaging
Male
Meperidine - administration & dosage
Midazolam - administration & dosage
Pain
Pain control
Pain Medicine
Patients
Pneumothorax - complications
Pneumothorax - etiology
Pneumothorax - surgery
Pulmonary Disease, Chronic Obstructive - complications
Radiography, Abdominal
Thoracentesis
Vital signs
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Colonoscopy is widely performed for the diagnosis and treatment of various colonic disorders and the screening and surveillance of colorectal neoplasia. According to research evidence, up to one-third of patients had at least 1 minor and transient gastrointestinal symptom after colonoscopy. Although severe complications developed uncommonly, they are potentially serious and life threatening. Here, we present the case of a 95-year-old man with chronic obstructive pulmonary disease who developed bilateral tension pneumothorax during therapeutic colonoscopy for sigmoid volvulus. In this case, air trapping resulting from the Valsalva maneuver under inadequate pain control may be the mechanism for fatal tension pneumothorax during colonoscopy.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2016.05.030