Jensen R, Gutnik S H
USD School of Medicine, Sioux Falls.
S D J Med. 1991 Jul;44(7):177-9.
A 68-year old female underwent removal of a 3 cm transverse colon polyp, which contained adenocarcinoma, by means of endoscopic polypectomy. She tolerated the procedure well. Unfortunately, six hours later she returned to the hospital with vague abdominal complaints. Her clinical exam revealed mild abdominal tenderness, but was not suggestive of a perforated viscus. Radiographic data revealed retroperitoneal, mediastinal, and free intraperitoneal air, along with intramural bowel wall air.
一名68岁女性通过内镜息肉切除术切除了一个3厘米的横结肠息肉，该息肉含有腺癌。她对手术耐受良好。不幸的是，六小时后她因腹部不适返回医院。她的临床检查显示有轻度腹部压痛，但未提示有脏器穿孔。影像学资料显示有腹膜后、纵隔和游离腹腔内积气，以及肠壁内积气。
