Jellestad Pernille Linde, Andos Shadi, Teklay Biniam Berhane
Ugeskr Laeger. 2017 Nov 20;179(47).
A 38-year-old man known with inflammatory bowel disease, received an ileostomy and a blinded colon. Eight years later the patient underwent a painful colonoscopy, performed under suspicion of malignancy in the blinded colon. Two days later the patient was admitted due to hoarseness, throat pain and a feeling of neck swelling but no abdominal pain. A chest X-ray showed subcutaneous emphysema in the neck region and pneumoperitoneum. We conclude, that colonoscopies can give a variety of complications, such as perforation in the colon with secondary subcutaneous emphysema in the neck and throat region.
一名38岁患有炎性肠病的男子接受了回肠造口术和盲端结肠手术。八年后,患者因怀疑盲端结肠有恶性肿瘤而接受了痛苦的结肠镜检查。两天后,患者因声音嘶哑、咽痛和颈部肿胀感入院,但无腹痛。胸部X线显示颈部皮下气肿和气腹。我们得出结论,结肠镜检查可能会引发多种并发症,如结肠穿孔并继发颈部和咽喉部皮下气肿。