Pneumothorax, pneumomediastinum and subcutaneous emphysema induced by colonoscopy: a case report and literature review

doi:10.13418/j.issn.1001-165x.2021.06.022

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Chinese Journal of Clinical Anatomy ›› 2021, Vol. 39 ›› Issue (6) : 741-744. DOI: 10.13418/j.issn.1001-165x.2021.06.022

Pneumothorax, pneumomediastinum and subcutaneous emphysema induced by colonoscopy: a case report and literature review

Liu Lu^1,2, Li Yaoqi², Zhu Chenglou³, Peng Lingzhi², Xia Yu³, Deng Weibo⁴, Da Mingxu²

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Colonoscopy / / / Intraperitoneal perforation / / / Pneumothorax / / / Pneumomediastinum / / / / Subcutaneous emphysema

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Liu Lu, Li Yaoqi, Zhu Chenglou, Peng Lingzhi, Xia Yu, Deng Weibo, Da Mingxu. Pneumothorax, pneumomediastinum and subcutaneous emphysema induced by colonoscopy: a case report and literature review[J]. Chinese Journal of Clinical Anatomy. 2021, 39(6): 741-744 https://doi.org/10.13418/j.issn.1001-165x.2021.06.022

References

[1] ASGE standards of practice committee, Fisher DA, Maple JT, et al. Complications of colonoscopy[J]. Gastrointest Endosc, 2011, 74(4): 745-752. DOI: 10.1016/j.gie.2011.07.025.
[2] Denadai R, Medeiros CC, Toledo AP, et al. Rectal perforation after colonoscopic polypectomy presented as subcutaneous emphysema, pneumomediastinum and pneumoretroperitoneum successfully treated conservatively in an elderly adult[J]. J Am Geriatr Soc, 2013, 61(8): 1433-1435. DOI: 10.1111/jgs.12374.
[3] Cappello M, Randazzo C, Peralta S, et al. Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after diagnostic colonoscopy for ulcerative colitis: a rare but possible complication in patients with multiple risk factors[J]. Int J Colorectal Dis, 2011, 26(3): 393-394. DOI: 10.1007/s00384-010-1005-7.
[4] Lüning TH, Keemers-Gels ME, Barendregt WB, et al. Colonoscopic perforations: a review of 30,366 patients[J]. Surg Endosc, 2007, 21(6): 994-997. DOI: 10.1007/s00464-007-9251-7.
[5] Wullstein C, Köppen MO, Gross E. Laparoscopic treatment of colonic perforations related to colonoscopy[J]. Surg Endosc, 1999, 13(5): 484-487. DOI: 10.1007/s004649901018.
[6] Choi PW. Pneumomediastinum, pneumothorax, and subcutaneous emphysema caused by colonoscopic perforation: a report of two cases[J]. J Emerg Med, 2017, 52(4): e117-e122. DOI: 10.1016/j.jemermed.2016.10.047.
[7] Day LW, Kwon A, Inadomi JM, et al. Adverse events in older patients undergoing colonoscopy: a systematic review and meta-analysis[J]. Gastrointest Endosc, 2011, 74(4): 885-896. DOI: 10.1016/j.gie.2011.06.023.
[8] Anderson ML, Pasha TM, Leighton JA. Endoscopic perforation of the colon: lessons from a 10-year study[J]. Am J Gastroenterol, 2000, 95(12): 3418-3422. DOI: 10.1111/j.1572-0241.2000.03356.x.
[9] Foliente RL, Chang AC, Youssef AI, et al. Endoscopic cecal perforation: mechanisms of injury[J]. Am J Gastroenterol, 1996, 91(4):705-708. PMID: 8677933.
[10]Panteris V, Haringsma J, Kuipers EJ. Colonoscopy perforation rate, mechanisms and outcome: from diagnostic to therapeutic colonoscopy[J]. Endoscopy, 2009, 41(11): 941-951. DOI: 10.1055/s-0029-1215179.
[11]Tiwari A, Sharma H, Qamar K, et al. Recognition of extraperitoneal colonic perforation following colonoscopy: a review of the literature[J]. Case Rep Gastroenterol, 2017, 11(1): 256-264. DOI: 10.1159/000475750.
[12]Kim BH, Yoon SJ, Lee JY, et al. Subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum, and pneumoperitoneum secondary to colonic perforation during colonoscopy[J]. Korean J Anesthesiol, 2013, 65(6 Suppl): S103-S104. DOI: 10.4097/kjae.2013.65.6S.S103.
[13]Anyfantakis D, Kastanakis M, Karona P, et al. Subcutaneous facial and neck emphysema as first sign of intestinal perforation in a female patient after a routine colonoscopy[J]. Eurasian J Med, 2016, 48(3): 230-232. DOI: 10.5152/eurasianjmed.2015.0174.
[14]Maunder RJ, Pierson DJ, Hudson LD. Subcutaneous and mediastinal emphysema: pathophysiology, diagnosis, and management[J]. Arch Intern Med, 1984, 144(7): 1447-1453. PMID: 6375617.
[15]Ball CG, Kirkpatrick AW, Mackenzie S, et al. Tension pneumothorax secondary to colonic perforation during diagnostic colonoscopy: report of a case[J]. Surg Today, 2006, 36(5): 478-480. DOI: 10.1007/s00595-005-3172-7.
[16]Kirk J, Staren ED, Franklin J, et al. Voice changes: an initial manifestation of colonic perforation[J]. Gastrointest Endosc, 1994, 40(1): 125. DOI: 10.1016/s0016-5107(94)70045-1.
[17]Kirkpatrick AW, Koo J, Zalev AH, et al. Endoscopic perforation of the rectum presenting initially as a change in voice[J]. Can J Surg, 1999, 42(4): 305-306. PMID: 10459333.
[18]孙石. 自发性气胸并发气腹误诊二例[J]. 临床误诊误治, 1996, (5): 231.
[19]张诚实, 丁薇, 周晓莉, 等. 慢性阻塞性肺疾病并发顽固性气胸伴全身皮下气肿一例[J]. 中华肺部疾病杂志 (电子版), 2017, 10(5): 621-623. DOI: 10.3877/cma.j.issn.1674-6902.2017.05.033.
[20]申耀宗, 王效民. 腹膜的解剖生理与临床[J]. 中国医师进修杂志, 1989, (9): 36-37. CNKI: SUN:YSJX.0.1989-09-025.
[21]Won DY, Lee IK, Lee YS, et al. The indications for nonsurgical management in patients with colorectal perforation after colonoscopy[J]. Am Surg, 2012, 78(5): 550-554. PMID: 22546127.
[22]Mai CM, Wen CC, Wen SH, et al. Iatrogenic colonic perforation by colonoscopy: a fatal complication for patients with a high anesthetic risk[J]. Int J Colorectal Dis, 2010, 25(4): 449-454. DOI: 10.1007/s00384-009-0822-z.
[23]Kang HY, Kang HW, Kim SG, et al. Incidence and management of colonoscopic perforations in Korea[J]. Digestion, 2008, 78(4): 218-223. DOI: 10.1159/000190811.