Shah Muhammad Usman, Eissa Ahmed, Caruso Vincenzo, Bhusari Sudhir
Department of Cardiothoracic Surgery, Basildon and Thurrock University Hospitals, Basildon, UK.
Department of Cardiothoracic Surgery, Southampton University Hospitals, Southampton, UK.
J Card Surg. 2020 Aug;35(8):2053-2055. doi: 10.1111/jocs.14750. Epub 2020 Jul 11.
Colonoscopy is generally considered a safe procedure, with a low rate of complications. Although rare, the migration of the colonoscope may represent life-threatening events, requiring emergency treatment. We, herein, describe the case of an elective colonoscopy complicated by an irretrievable colonoscope that migrated, through a previous traumatic diaphragmatic hernia, in the chest cavity. This hernia was likely a chronic complication of a previous abdominal trauma. Several attempts to retrieve the scope were unsuccessful. After further investigations and collegial discussion, a left thoracotomy was performed, with the aim to retrieve the colonoscope and to reduce the hernia.
结肠镜检查通常被认为是一种安全的操作,并发症发生率较低。虽然罕见,但结肠镜的移位可能代表危及生命的事件,需要紧急治疗。在此,我们描述一例择期结肠镜检查的病例,该检查因结肠镜无法挽回地移位至胸腔,穿过既往创伤性膈疝。这种疝可能是既往腹部创伤的慢性并发症。多次尝试取回结肠镜均未成功。经过进一步检查和会诊讨论后,进行了左胸切开术,目的是取回结肠镜并修复疝。