Souadka Amine, Mohsine Raouf, Ifrine Lahsen, Belkouchi Abdelkader, El Malki Hadj Omar
Surgical Department A, Ibn Sina Hospital, Rabat, Morocco.
J Med Case Rep. 2012 Feb 6;6:51. doi: 10.1186/1752-1947-6-51.
A perforation occurring during colonoscopy is an extremely rare complication that may be difficult to diagnose. It can be responsible for acute abdominal compartment syndrome, a potentially lethal complex pathological state in which an acute increase in intra-abdominal pressure may provoke the failure of several organ systems.
We report a case of acute abdominal compartment syndrome after perforation of the bowel during a colonoscopy in a 60-year-old North African man with rectal cancer, resulting in respiratory distress, cyanosis and cardiac arrest. Our patient was treated by needle decompression after the failure of cardiopulmonary resuscitation. An emergency laparotomy with anterior resection, including the perforated sigmoid colon, was then performed followed by immediate anastomosis. Our patient remains alive and free of disease three years later.
Acute abdominal compartment syndrome is a rare disease that may occasionally occur after a colonoscopic perforation. It should be kept in mind during colonoscopy, especially considering its simple salvage treatment.
结肠镜检查期间发生的穿孔是一种极为罕见的并发症，可能难以诊断。它可导致急性腹腔间隔室综合征，这是一种潜在致命的复杂病理状态，其中腹腔内压力的急性升高可能引发多个器官系统的衰竭。
我们报告一例60岁患有直肠癌的北非男性在结肠镜检查期间肠道穿孔后发生急性腹腔间隔室综合征的病例，该综合征导致呼吸窘迫、发绀和心脏骤停。在心肺复苏失败后，我们的患者接受了针减压治疗。随后进行了急诊剖腹手术，包括切除穿孔的乙状结肠并进行前切除术，然后立即进行吻合术。三年后，我们的患者仍然存活且无疾病。
急性腹腔间隔室综合征是一种罕见疾病，偶尔可能在结肠镜穿孔后发生。在结肠镜检查期间应牢记这一点，特别是考虑到其简单的挽救治疗方法。
