皮下面部及颈部气肿作为一名女性患者常规结肠镜检查后肠穿孔的首发症状
Subcutaneous Facial and Neck Emphysema as First Sign of Intestinal Perforation in a Female Patient After a Routine Colonoscopy.
作者信息
Anyfantakis Dimitrios, Kastanakis Miltiades, Karona Paraskevi, Papadomichelakis Alexandros, Bobolakis Emmanouil
机构信息
Primary Health Care Centre of Kissamos, Crete, Greece.
First Department of Surgery, Saint George General Hospital of Chania, Crete, Greece.
出版信息
Eurasian J Med. 2016 Oct;48(3):230-232. doi: 10.5152/eurasianjmed.2015.0174. Epub 2016 Aug 18.
Abstract
Colonoscopy is a safe procedure for the diagnosis and management of colorectal diseases. Colonic perforation due to colonoscopy represents an uncommon complication. Here we present an unusual case of iatrogenic bowel perforation resulting in subcutaneous facial and neck emphysema, pneumomediastinum and pneumoretroperitoneum. Taking a detailed recent medical history information is always required when encountering patients with subcutaneous emphysema after invasive examination procedures. Alertness on iatrogenic complication eventualities may improve prognosis and avoid life-threatening conditions.
摘要
结肠镜检查是诊断和管理结直肠疾病的一种安全方法。结肠镜检查导致的结肠穿孔是一种罕见的并发症。在此，我们报告一例罕见的医源性肠穿孔病例，该病例导致面部和颈部皮下气肿、纵隔气肿和腹膜后气肿。在遇到侵入性检查程序后出现皮下气肿的患者时，始终需要详细询问近期病史信息。对医源性并发症的警惕可能会改善预后并避免危及生命的情况。
相似文献
1
Subcutaneous Facial and Neck Emphysema as First Sign of Intestinal Perforation in a Female Patient After a Routine Colonoscopy.皮下面部及颈部气肿作为一名女性患者常规结肠镜检查后肠穿孔的首发症状
Eurasian J Med. 2016 Oct;48(3):230-232. doi: 10.5152/eurasianjmed.2015.0174. Epub 2016 Aug 18.
2
Pneumoretroperitoneum, Pneumomediastinum, Pneumothorax, and Subcutaneous Emphysema after Diagnostic Colonoscopy.诊断性结肠镜检查后出现腹膜后积气、纵隔积气、气胸及皮下气肿
Korean J Gastroenterol. 2017 Sep 25;70(3):145-149. doi: 10.4166/kjg.2017.70.3.145.
3
Head and neck subcutaneous emphysema, a rare complication of iatrogenic perforation during colonoscopy: management review of reported cases from 2000-2016.头颈部皮下气肿，结肠镜检查期间医源性穿孔的一种罕见并发症：2000年至2016年报告病例的管理回顾
Expert Rev Gastroenterol Hepatol. 2017 Sep;11(9):849-856. doi: 10.1080/17474124.2017.1351294. Epub 2017 Jul 19.
4
Pneumomediastinum, Pneumothorax, and Subcutaneous Emphysema Caused by Colonoscopic Perforation: A Report of Two Cases.结肠镜检查穿孔所致纵隔气肿、气胸及皮下气肿：两例报告
J Emerg Med. 2017 Apr;52(4):e117-e122. doi: 10.1016/j.jemermed.2016.10.047. Epub 2016 Nov 19.
5
Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema following diagnostic colonoscopy.诊断性结肠镜检查后出现气胸、纵隔气肿、气腹、腹膜后气肿及皮下气肿。
Ann R Coll Surg Engl. 2007 Jul;89(5):W20-1. doi: 10.1308/147870807X188506.
6
Pneumoretroperitoneum, pneumomediastinum, peumopericardium, and subcutaneous emphysema after colonoscopic examination.结肠镜检查后出现的气腹、纵隔气肿、气胸和皮下气肿。
Gut Liver. 2007 Jun;1(1):79-81. doi: 10.5009/gnl.2007.1.1.79. Epub 2007 Jun 30.
7
Pneumoretroperitoneum, Pneumomediastinum, Subcutaneous Emphysema After a Rectal Endoscopic Mucosal Resection.直肠内镜黏膜切除术后的腹膜后积气、纵隔积气、皮下气肿
Ann Coloproctol. 2016 Dec;32(6):234-238. doi: 10.3393/ac.2016.32.6.234. Epub 2016 Dec 31.
8
Pneumoretroperitoneum with subcutaneous emphysema after a post colonoscopy colonic perforation.结肠镜检查后结肠穿孔伴气腹及皮下气肿。
Int J Surg Case Rep. 2019;58:117-120. doi: 10.1016/j.ijscr.2019.03.030. Epub 2019 Apr 16.
9
Pneumothorax, Pneumomediastinum, and Cervical and Facial Massive Emphysema Secondary to Colonoscopy: A Rare Complication of Colonoscopy.结肠镜检查继发气胸、纵隔气肿以及颈部和面部大面积气肿：结肠镜检查的一种罕见并发症
Case Rep Gastrointest Med. 2024 Jun 25;2024:1140099. doi: 10.1155/2024/1140099. eCollection 2024.
10
Pneumoperitoneum, Retropneumoperitoneum, Pneumomediastinum, and Diffuse Subcutaneous Emphysema following Diagnostic Colonoscopy.
Case Rep Surg. 2012;2012:108791. doi: 10.1155/2012/108791. Epub 2012 Sep 16.
引用本文的文献
1
The enigma of asymptomatic idiopathic pneumoperitoneum: A dangerous trap for general surgeons.无症状特发性气腹之谜：普通外科医生的危险陷阱。
Int J Surg Case Rep. 2020;76:33-36. doi: 10.1016/j.ijscr.2020.09.149. Epub 2020 Sep 24.
本文引用的文献
1
Subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum, and pneumoperitoneum secondary to colonic perforation during colonoscopy.结肠镜检查期间结肠穿孔继发的皮下气肿、纵隔气肿、腹膜后气肿及气腹。
Korean J Anesthesiol. 2013 Dec;65(6 Suppl):S103-4. doi: 10.4097/kjae.2013.65.6S.S103.
2
Delayed post-traumatic diaphragmatic rupture complicated by total hepato-thorax: A case report.创伤后迟发性膈肌破裂合并全肝胸腔内异位：一例报告
Int J Surg Case Rep. 2013;4(6):537-9. doi: 10.1016/j.ijscr.2013.03.027. Epub 2013 Mar 29.
3
Pneumoperitoneum, Retropneumoperitoneum, Pneumomediastinum, and Diffuse Subcutaneous Emphysema following Diagnostic Colonoscopy.
Case Rep Surg. 2012;2012:108791. doi: 10.1155/2012/108791. Epub 2012 Sep 16.
4
5
Colonoscopy perforation rate, mechanisms and outcome: from diagnostic to therapeutic colonoscopy.结肠镜穿孔率、机制和结果：从诊断性结肠镜到治疗性结肠镜。
Endoscopy. 2009 Nov;41(11):941-51. doi: 10.1055/s-0029-1215179. Epub 2009 Oct 28.
6
Outcomes and predictors of mortality and stoma formation in surgical management of colonoscopic perforations: a multicenter review.结肠镜检查穿孔手术治疗的死亡率和造口形成的结局及预测因素：一项多中心综述
Arch Surg. 2009 Jan;144(1):9-13. doi: 10.1001/archsurg.2008.503.
7
Colonoscopic perforations: a review of 30,366 patients.结肠镜检查穿孔：对30366例患者的回顾
Surg Endosc. 2007 Jun;21(6):994-7. doi: 10.1007/s00464-007-9251-7. Epub 2007 Apr 24.
8
Tension pneumothorax secondary to colonic perforation during diagnostic colonoscopy: report of a case.诊断性结肠镜检查期间结肠穿孔继发张力性气胸：一例报告
Surg Today. 2006;36(5):478-80. doi: 10.1007/s00595-005-3172-7.
9
Colonoscopic perforations: incidence, management, and outcomes.结肠镜检查穿孔：发生率、处理及结果
Am Surg. 2004 Sep;70(9):750-7; discussion 757-8.
10
Endoscopic perforation of the colon: lessons from a 10-year study.结肠内镜穿孔：一项10年研究的经验教训
Am J Gastroenterol. 2000 Dec;95(12):3418-22. doi: 10.1111/j.1572-0241.2000.03356.x.
Zotero 插件