Jeong Jin Yong, Kim Kap Tae, Kim Mi Jin, Kim Yea Jeong
Department of Surgery, Presbyterian Medical Center, Jeonju, Korea.
Ann Coloproctol. 2018 Feb;34(1):52-55. doi: 10.3393/ac.2018.34.1.52. Epub 2018 Feb 28.
We experienced a case of 1 patient who died from rhabdomyolysis-related complications after colonoscopy. A 60-year-old man had undergone an 'uncomplicated' colonoscopic polypectomy. Approximately 10 hours following this procedure, the patient complained of increasing left abdominal pain. His computed tomography image showed free gas, but his operative findings revealed no macroscopic perforation or abscess formation. Eight hours after the operation, the patient presented with myoglobulinuria, and we diagnosed the condition to be rhabdomyolysis. Based on this case, we recommend that rhabdomyolysis be added to the list of complications following a colonoscopic procedure. Moreover, for prevention and early treatment, endoscopists should be attentive to the risk factors and signs/symptoms of rhabdomyolysis.
我们遇到了1例患者，该患者在结肠镜检查后死于与横纹肌溶解相关的并发症。一名60岁男性接受了“无并发症”的结肠镜下息肉切除术。该操作后约10小时，患者主诉左腹疼痛加剧。他的计算机断层扫描图像显示有游离气体，但手术所见未发现肉眼可见的穿孔或脓肿形成。术后8小时，患者出现肌红蛋白尿，我们诊断该病情为横纹肌溶解。基于此病例，我们建议将横纹肌溶解添加到结肠镜检查后的并发症列表中。此外，为了预防和早期治疗，内镜医师应留意横纹肌溶解的危险因素及体征/症状。
