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结肠镜卡在胸腔:一种罕见的并发症。

A stuck colonoscope in the chest cavity: An uncommon complication.

作者信息

Shah Muhammad Usman, Eissa Ahmed, Caruso Vincenzo, Bhusari Sudhir

机构信息

Department of Cardiothoracic Surgery, Basildon and Thurrock University Hospitals, Basildon, UK.

Department of Cardiothoracic Surgery, Southampton University Hospitals, Southampton, UK.

出版信息

J Card Surg. 2020 Aug;35(8):2053-2055. doi: 10.1111/jocs.14750. Epub 2020 Jul 11.

Abstract

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.

摘要

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。

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