Torrealba Mauricio, Matlock Robert, Petrun Branden, Zera Richard, Malli Ahmad
Divison of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, MN.
Department of Medicine, Hennepin Healthcare, Minneapolis, MN.
ACG Case Rep J. 2021 Apr 26;8(4):e00564. doi: 10.14309/crj.0000000000000564. eCollection 2021 Apr.
Colonoscope entrapment in an inguinal hernia is rare and few cases have been described in the literature. We present a 54-year-old patient who underwent a diagnostic colonoscopy which was complicated by incarceration of the colonoscope in a left inguinal hernia. This rare complication occurs more frequently during withdrawal, and our case was unique, given the incarceration of the colonoscope occurred during the insertion phase. Recognizing this scenario is very important to immediately proceed with general anesthesia and surgical consultation for successful nonoperative hernia reduction and colonoscope removal. We recommend reattempting colonoscopy after surgical hernia repair or proceed with computed tomography colonography if appropriate for the indication.
结肠镜被困于腹股沟疝中十分罕见,文献中仅有少数病例报道。我们报告一例54岁患者,其在接受诊断性结肠镜检查时,结肠镜被困于左侧腹股沟疝,导致病情复杂。这种罕见的并发症在退镜过程中更常发生,而我们的病例较为独特,因为结肠镜被困发生在插入阶段。认识到这种情况对于立即进行全身麻醉和外科会诊以成功实施非手术性疝复位及取出结肠镜非常重要。我们建议在手术修复疝后重新尝试结肠镜检查,或根据适应证酌情进行计算机断层扫描结肠造影。