Cat scratch colon and cecal barotrauma perforation during colonoscopy with CO2 insufflation.

Autor:	Barros S; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal ., Relvas LM; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal ., Carvalho IM; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal ., Vaz AM; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal ., Ornelas R; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal ., Peixe B; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal .
Jazyk:	angličtina
Zdroj:	Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2024 Oct 04. Date of Electronic Publication: 2024 Oct 04.
DOI:	10.17235/reed.2024.10777/2024
Abstrakt:	Background: Cecal perforation from barotrauma is a rare complication of colonoscopy, even with the use of CO₂ insufflation, which is generally preferred over room air due to its rapid absorption and reduced patient discomfort. Case Report: A 64-year-old woman with hypertension and dyslipidemia underwent a routine colonoscopy with CO₂ insufflation. Multiple diverticula were noted, and upon reaching the cecum, several parallel linear lesions with spontaneous bleeding, consistent with "cat scratch" colon, were observed. Hemostasis was achieved with 10 endoscopic clips. A subsequent CT scan revealed pneumoperitoneum and the clips in the cecum. The patient was managed conservatively with bowel rest and intravenous antibiotics, showing a favorable clinical course and was discharged on the fifth day. Discussion: This case highlights the potential for cecal perforation due to barotrauma even with CO₂ insufflation during colonoscopy, emphasizing the need for awareness and prompt management of such complications.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu