Department of Anesthesiology, National Cheng Kung University, Medical College and Hospital, Tainan, Taiwan.
Kaohsiung J Med Sci. 2010 Dec;26(12):669-72. doi: 10.1016/S1607-551X(10)70102-9.
A 77-year-old woman underwent colonoscopic balloon dilatation for colonic stricture 1 year after laparoscopic anterior resection of sigmoid colon cancer. During the balloon dilatation, panfacial swelling and apnea were noted. Emergency endotracheal intubation was undertaken. Chest X-ray revealed diffuse subcutaneous emphysema and bilateral pneumothorax. We discuss the possible mechanism and management of this uncommon complication during therapeutic colonoscopy.
一位 77 岁女性在腹腔镜乙状结肠癌前切除术后 1 年因结肠狭窄行结肠镜球囊扩张术。在球囊扩张过程中，出现颜面肿胀和呼吸暂停。行紧急气管插管。胸部 X 线片显示弥漫性皮下气肿和双侧气胸。我们讨论了在治疗性结肠镜检查期间这种罕见并发症的可能机制和处理方法。
