Bassett John T, Liotta Robert A, Barlow Duncan, Lee Dong, Jensen Donald
Department of Gastroenterology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889, USA.
Abdom Imaging. 2008 Sep-Oct;33(5):598-600. doi: 10.1007/s00261-008-9399-1.
CT colonography has become a potential alternative technique to optical colonoscopy for the detection of colorectal polyps and cancer. While considered safer than optical colonoscopy, CT colonography is not without risk. We report a case of colonic perforation during CT colonography using automated CO(2) insufflation and present procedural changes to help minimize the adverse effects of perforation when it occurs.
CT结肠成像已成为一种用于检测结直肠息肉和癌症的潜在替代技术,可替代光学结肠镜检查。虽然CT结肠成像被认为比光学结肠镜检查更安全,但并非没有风险。我们报告一例在使用自动二氧化碳充气的CT结肠成像过程中发生结肠穿孔的病例,并提出操作改进措施,以在穿孔发生时尽量减少其不良影响。