Pasumarthy Lakshmi, Srour James, Johnson Dennis
Department of Medicine, York Hospital, York, Pa., USA.
Case Rep Gastroenterol. 2008 May 24;2(2):187-90. doi: 10.1159/000133826.
Colonoscopy is rarely associated with complications such as colonic perforation. Perforation of the small bowel is extremely rare, especially if the procedure is done without therapeutic interventions. Several factors are associated with this entity. Perforation of the ileum has been reported, but proximal jejunal perforation secondary to rupture of jejunal diverticulum during colonoscopy has not been reported. We present the case of an 88-year-old patient who developed abdominal pain after undergoing colonoscopy without any additional interventions. Urgent exploration revealed perforation of the proximal jejunum secondary to rupture of a jejunal diverticulum. No therapy or biopsies were undertaken during the colonoscopy, which are known predisposing factors.
结肠镜检查很少会引发诸如结肠穿孔之类的并发症。小肠穿孔极为罕见，尤其是在未进行治疗性干预的情况下进行该检查时。有几个因素与这种情况相关。回肠穿孔已有报道，但结肠镜检查期间空肠憩室破裂继发近端空肠穿孔尚未见报道。我们报告一例88岁患者，其在未进行任何额外干预的结肠镜检查后出现腹痛。紧急探查发现近端空肠因空肠憩室破裂而穿孔。结肠镜检查期间未进行治疗或活检，而这些是已知的诱发因素。
