Al Hillan Alsadiq, Mohamed Mujtaba, Chien Diane, Alshami Abbas, Arif Faizan
Internal Medicine, Jersey Shore University Medical Center, Neptune, USA.
Internal Medicine, Hackensack Meridian Health, Jersey Shore University Medical Center, Neptune, USA.
Cureus. 2020 Apr 17;12(4):e7716. doi: 10.7759/cureus.7716.
Colonoscopy is a procedure that enables a physician (usually a gastroenterologist) to directly image and examine the entire colon. It has both diagnostic and therapeutic benefits with a relatively low morbidity rate. Complications have been well described in the literature. Nevertheless, it is necessary for operators to be aware of the rare complications of colonoscopy. Acute appendicitis is an unusually rare occurrence following a colonoscopy, and it can be easily confused with other complications of the procedure. Prompt recognition of this complication can lead to early, effective treatment, and delayed diagnosis can lead to serious results. We present a case of a 33-year-old man who underwent a routine colonoscopy with no intraoperative complication who presented with appendicitis two weeks later as a rare delayed side effect; such a delayed presentation has not been described in the literature previously. This case highlights that appendicitis should be considered in the differential diagnosis of right-sided lower abdominal pain following a colonoscopy.
结肠镜检查是一种使医生（通常是胃肠病学家）能够直接对整个结肠进行成像和检查的操作。它具有诊断和治疗益处，且发病率相对较低。文献中已对并发症进行了充分描述。然而，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极罕见的情况，并且很容易与该操作的其他并发症相混淆。及时识别这种并发症可导致早期、有效的治疗，而延迟诊断可能会导致严重后果。我们报告一例33岁男性病例，该患者接受了常规结肠镜检查，术中无并发症，但两周后出现阑尾炎，这是一种罕见的延迟性副作用；此前文献中未描述过这种延迟表现。该病例强调，在结肠镜检查后右侧下腹部疼痛的鉴别诊断中应考虑阑尾炎。
