Kafadar Mehmet Tolga, Bilgiç İsmail, Kartal Seyfi, Güliter Sefa
Clinic of General Surgery, Health Sciences University Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.
Clinic of General Surgery, Ankara Umut Hospital, Ankara, Turkey.
Turk J Surg. 2018 Dec 1;34(4):340-341. doi: 10.5152/turkjsurg.2017.3458.
Colonoscopy is commonly performed for diagnostic and therapeutic purposes and has a relatively low morbidity rate. Nevertheless, it is necessary for operators to be aware of the rare complications of colonoscopy due to a large number of procedures performed in daily practice. Acute appendicitis is an unusually rare occurrence after colonoscopy, with no clear association being found between the colonoscopy and acute appendicitis. A rapid diagnosis of this complication is possible by widespread awareness in surgeons regarding this condition. Acute appendicitis cannot be reliably resulted in as the cause of acute abdominal pain due to relatively subtle signs, symptoms, and studies performed for bowel perforation. The diagnosis of postcolonoscopy appendicitis is difficult, and strategies for its treatment show significant variation. This report presents a patient having undergone urgent laparotomy within 12 h after colonoscopy on having signs and symptoms of acute appendicitis-induced peritonitis.
结肠镜检查通常用于诊断和治疗目的,发病率相对较低。然而,由于日常实践中进行的检查数量众多,操作人员有必要了解结肠镜检查的罕见并发症。急性阑尾炎是结肠镜检查后异常罕见的情况,目前尚未发现结肠镜检查与急性阑尾炎之间存在明确关联。外科医生对这种情况的广泛认知有助于快速诊断这一并发症。由于相对细微的体征、症状以及针对肠穿孔所做的检查,急性阑尾炎不能可靠地被认定为急性腹痛的病因。结肠镜检查后阑尾炎的诊断较为困难,其治疗策略也存在显著差异。本报告介绍了一名患者,在结肠镜检查后12小时内,因出现急性阑尾炎诱发腹膜炎的体征和症状而接受了急诊剖腹手术。