Intussusception after Colonoscopy: A Case Report and Review of Literature
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Intussusception after colonoscopy is an unusual complication. A MEDLINE search revealed only 7 reported cases. We present a reportof a 28-year-old man who developed abdominal pain several hours after routine colonoscopy and in whom computed tomography(CT) revealed colocolic intussusception. We postulate that this condition is iatrogenic and induced by suctioning of gas on withdrawalof the colonoscope. A common observation among the reported cases was abdominal pain several hours after colonoscopy and rightsidedintussusception. All cases had colonoscopy reaching the right side of the colon. Treatment for adult intussusception remainscontroversial with regard to reduction versus resection, especially given the high association with a pathological cause and malignancy. Among the 8 reported cases, only the current case did not require surgery. A combination of benign colonoscopy, CT, and the clinicalpicture should provide suffcient information to initially choose a more conservative treatment approach.
Abstract
Intussusception after colonoscopy is an unusual complication. A MEDLINE search revealed only 7 reported cases. We present a reportof a 28-year-old man who developed abdominal pain several hours after routine colonoscopy and in whom computed tomography(CT) revealed colocolic intussusception. We postulate that this condition is iatrogenic and induced by suctioning of gas on withdrawalof the colonoscope. A common observation among the reported cases was abdominal pain several hours after colonoscopy and rightsidedintussusception. All cases had colonoscopy reaching the right side of the colon. Treatment for adult intussusception remainscontroversial with regard to reduction versus resection, especially given the high association with a pathological cause and malignancy. Among the 8 reported cases, only the current case did not require surgery. A combination of benign colonoscopy, CT, and the clinicalpicture should provide suffcient information to initially choose a more conservative treatment approach.
참고문헌 (18)
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