Iatrogenic Colonic Perforation due to Computed Tomographic Colonography

Autor:	Ken Takabayashi, Toshiyuki Takahashi, Tsukasa Muroya, Shoichi Horita, Takashi Kato, Takayuki Goda, Kiyotaka Sasaki
Rok vydání:	2015
Předmět:	Insufflation medicine.medical_specialty Perforation Potential risk business.industry Computed tomographic colonography Perforation (oil well) Gastroenterology medicine.disease Asymptomatic digestive system diseases Published online: May 2015 Surgery Catheter Pneumoperitoneum medicine lcsh:Diseases of the digestive system. Gastroenterology Computed Tomographic Colonography Radiology lcsh:RC799-869 medicine.symptom Complication business
Zdroj:	Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 9, Iss 2, Pp 171-178 (2015)
ISSN:	1662-0631
DOI:	10.1159/000430947
Popis:	Although the complications of computed tomographic colonography (CTC) are very rare, CTC is associated with potential risk of colonic perforation. In the present report we describe two cases of colonic perforation secondary to CTC. In the first case with ascending colonic carcinoma, insertion of a rigid double-balloon catheter caused direct rectal wall perforation. In the second case with obstructive colonic carcinoma, pneumoperitoneum developed due to automated carbon dioxide insufflation. Both patients were asymptomatic after examination and recovered without any complications. Based on the findings of the current cases, we recommend that a soft-tip catheter be used for CTC, and suggest that colonic perforation can occur even with automatic insufflation, depending on patient characteristics.
Databáze:	OpenAIRE
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