Laparoscopic Exploration and Diverting Stoma of Iatrogenic Colonoscopic Complete Transection of the Sigmoid Colon; A Case Report
EAES Academy. Abdelbagi A. 07/05/22; 363025; P069
Dr. Alnazeer Abdelbagi
Contributions
Contributions
Abstract
Background:
Iatrogenic colon perforation (ICP) is one of the complications associated with colonoscopy which can lead to fatal outcomes such as peritonitis and sepsis. The lack of literature regarding complete transection of colon renders this case report of great value.
Case presentation: A 75 years old lady, underwent elective colonoscopy for diagnostic purposes. During the procedure, her condition deteriorated and she developed abdominal pain and destination. Erect CXR showed air under the diaphragm suggestive of perforated viscus (Figure 1). Therefore, laparoscopic exploration was carried out, massive pneumoperitoneum with purulent peritonitis was found, and the sigmoid colon was found completely transected (Figure 2). The two loops were exteriorized as a stoma, and a pelvic drain was inserted. The patient was discharged on day 16 postoperatively, in a good condition. The stoma was reversed 8 weeks postoperatively with no further complications.
Discussion:
The reported cases of Iatrogenic Colonic Perforation (ICP) associated with colonoscopy are usually limited to a small sized perforation. Here, we are reporting the first case _according to our knowledge_ of iatrogenic complete transection of the colon. Furthermore, the case was managed successfully via laparoscopic approach.
Conclusion:
Complete transection of the colon could be considered as one of the iatrogenic complications associated with colonoscopy. Moreover, the laparoscopic approach showed optimal outcomes.
Iatrogenic colon perforation (ICP) is one of the complications associated with colonoscopy which can lead to fatal outcomes such as peritonitis and sepsis. The lack of literature regarding complete transection of colon renders this case report of great value.
Case presentation: A 75 years old lady, underwent elective colonoscopy for diagnostic purposes. During the procedure, her condition deteriorated and she developed abdominal pain and destination. Erect CXR showed air under the diaphragm suggestive of perforated viscus (Figure 1). Therefore, laparoscopic exploration was carried out, massive pneumoperitoneum with purulent peritonitis was found, and the sigmoid colon was found completely transected (Figure 2). The two loops were exteriorized as a stoma, and a pelvic drain was inserted. The patient was discharged on day 16 postoperatively, in a good condition. The stoma was reversed 8 weeks postoperatively with no further complications.
Discussion:
The reported cases of Iatrogenic Colonic Perforation (ICP) associated with colonoscopy are usually limited to a small sized perforation. Here, we are reporting the first case _according to our knowledge_ of iatrogenic complete transection of the colon. Furthermore, the case was managed successfully via laparoscopic approach.
Conclusion:
Complete transection of the colon could be considered as one of the iatrogenic complications associated with colonoscopy. Moreover, the laparoscopic approach showed optimal outcomes.
Background:
Iatrogenic colon perforation (ICP) is one of the complications associated with colonoscopy which can lead to fatal outcomes such as peritonitis and sepsis. The lack of literature regarding complete transection of colon renders this case report of great value.
Case presentation: A 75 years old lady, underwent elective colonoscopy for diagnostic purposes. During the procedure, her condition deteriorated and she developed abdominal pain and destination. Erect CXR showed air under the diaphragm suggestive of perforated viscus (Figure 1). Therefore, laparoscopic exploration was carried out, massive pneumoperitoneum with purulent peritonitis was found, and the sigmoid colon was found completely transected (Figure 2). The two loops were exteriorized as a stoma, and a pelvic drain was inserted. The patient was discharged on day 16 postoperatively, in a good condition. The stoma was reversed 8 weeks postoperatively with no further complications.
Discussion:
The reported cases of Iatrogenic Colonic Perforation (ICP) associated with colonoscopy are usually limited to a small sized perforation. Here, we are reporting the first case _according to our knowledge_ of iatrogenic complete transection of the colon. Furthermore, the case was managed successfully via laparoscopic approach.
Conclusion:
Complete transection of the colon could be considered as one of the iatrogenic complications associated with colonoscopy. Moreover, the laparoscopic approach showed optimal outcomes.
Iatrogenic colon perforation (ICP) is one of the complications associated with colonoscopy which can lead to fatal outcomes such as peritonitis and sepsis. The lack of literature regarding complete transection of colon renders this case report of great value.
Case presentation: A 75 years old lady, underwent elective colonoscopy for diagnostic purposes. During the procedure, her condition deteriorated and she developed abdominal pain and destination. Erect CXR showed air under the diaphragm suggestive of perforated viscus (Figure 1). Therefore, laparoscopic exploration was carried out, massive pneumoperitoneum with purulent peritonitis was found, and the sigmoid colon was found completely transected (Figure 2). The two loops were exteriorized as a stoma, and a pelvic drain was inserted. The patient was discharged on day 16 postoperatively, in a good condition. The stoma was reversed 8 weeks postoperatively with no further complications.
Discussion:
The reported cases of Iatrogenic Colonic Perforation (ICP) associated with colonoscopy are usually limited to a small sized perforation. Here, we are reporting the first case _according to our knowledge_ of iatrogenic complete transection of the colon. Furthermore, the case was managed successfully via laparoscopic approach.
Conclusion:
Complete transection of the colon could be considered as one of the iatrogenic complications associated with colonoscopy. Moreover, the laparoscopic approach showed optimal outcomes.
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