Tseng Wen-Ko, Yu Yen-Lin, Fan Chung-Wei
Chang Gung Memorial Hospital, Keelung, No. 222, Maijin Rd., Anle District, KeeLung, Taiwan, ROC.
Int J Surg Case Rep. 2017;41:47-49. doi: 10.1016/j.ijscr.2017.07.066. Epub 2017 Oct 9.
Colonoscopy is a well-accepted procedure applied worldwide in diagnosis and management of colon lesions. The incidence of reported complications is not rare.
A 79-year-old man with postcolonoscopy intraperitoneal bleeding secondary to superior rectal artery injury. He received computer tomogram and angiogram study to confirmed bleeder from right superior rectal artery and subsequently managed with embolization and operation.
This is the second case report in the literatures of mesentery tear and the first case with massive hemoperitoneum.
Identification and careful evaluation are crucial for successful diagnosis and treatment in cases such as this after colonoscopy.
结肠镜检查是一种在全球范围内广泛应用于结肠病变诊断和治疗的公认程序。报告的并发症发生率并不罕见。
一名79岁男性，因结肠镜检查后直肠上动脉损伤继发腹腔内出血。他接受了计算机断层扫描和血管造影检查，以确认出血来自直肠上动脉右侧，随后接受了栓塞和手术治疗。
这是文献中第二例肠系膜撕裂病例，也是第一例出现大量腹腔积血的病例。
对于结肠镜检查后此类病例的成功诊断和治疗，识别和仔细评估至关重要。
