Delayed mid-ileal perforation secondary to acute-on-chronic ischaemia after a diagnostic colonoscopy.
- Published Article
Scandinavian journal of gastroenterology
- Publication Date
Sep 01, 1998
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.
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The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/9759960