Affordable Access

Delayed mid-ileal perforation secondary to acute-on-chronic ischaemia after a diagnostic colonoscopy.

Authors
  • Chau, T N
  • Ng, C
  • Lau, L K
  • Lai, S T
  • Yuen, H
Type
Published Article
Journal
Scandinavian journal of gastroenterology
Publication Date
Sep 01, 1998
Volume
33
Issue
9
Pages
1002–1004
Identifiers
PMID: 9759960
Source
Medline
License
Unknown

Abstract

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.

Report this publication

Statistics

Seen <100 times