Triester Stuart L, Hara Amy K, Young-Fadok Tonia M, Heigh Russell I
Division of Gastroenterology and Hepatology, Mayo Clinic in Scottsdale, Scottsdale, Arizona 85259, USA.
Am J Gastroenterol. 2006 Jan;101(1):189-92. doi: 10.1111/j.1572-0241.2005.00310.x.
Computed tomographic colonography (CTC) offers great promise in the management of patients with disorders of the colon. Few complications have been reported with its use thus far. We describe herein a case of colonic perforation during CTC in a patient with active stenosing ileocolonic Crohn's disease. To our knowledge, this is the first reported case of CTC-related perforation in the setting of Crohn's disease, and the third reported perforation overall. Perforation likely occurred in this case due to barotrauma in the setting of colonic strictures and an inflamed, weakened colonic wall. Physician awareness of the increased risk of perforation with CTC in the setting of inflammatory and/or obstructive disease of the colon will allow for improved clinical decision-making in the care of these patients.
计算机断层结肠成像（CTC）在结肠疾病患者的管理中具有巨大潜力。迄今为止，关于其使用的并发症报道较少。我们在此描述一例患有活动性狭窄性回结肠克罗恩病的患者在CTC检查期间发生结肠穿孔的病例。据我们所知，这是克罗恩病背景下首例报道的与CTC相关的穿孔病例，也是总体上第三例报道的穿孔病例。该病例中穿孔可能是由于结肠狭窄及结肠壁发炎、变薄情况下的气压伤所致。临床医生意识到在结肠炎性和/或阻塞性疾病背景下CTC检查穿孔风险增加，将有助于在这些患者的护理中做出更好的临床决策。
