Romo Julián A, Peña Jorge David, López Laura A, Figueroa Carlos, Garzon Horacio, Recamán Andrea
School of Medicine, Universidad del Rosario, Bogota D.C., Colombia.
Department of Coloproctology, Hospital Universitario Mayor Méderi, Bogota D.C., Colombia.
J Surg Case Rep. 2022 Aug 30;2022(8):rjac369. doi: 10.1093/jscr/rjac369. eCollection 2022 Aug.
Post-polypectomy syndrome (PPS) is a complication that may arise after some colonoscopy procedures that require electrocoagulation, due to a transmural burn, which irritates the serous membrane. Its clinical presentation is similar to the one of intestinal perforation, but it has a favorable prognosis, and does not require surgical treatment. We report the case of a 55-year-old woman diagnosed with a polyp in the ascending colon, who was admitted for an endoscopic resection. After the procedure, she complained of nausea, emesis and abdominal pain in the right iliac fossa. She was transferred to the emergency department. An abdominal tomography showed cecal wall thickening without pneumoperitoneum. Therefore, the diagnosis of PPS was made and was managed with bowel rest, parenteral fluids and antibiotics, with full recovery. Despite of its low incidence, it is important to suspect this syndrome to avoid unnecessary surgical treatment and initiate medical management right away.
息肉切除术后综合征（PPS）是一种可能在某些需要电凝的结肠镜检查后出现的并发症，原因是透壁烧伤刺激了浆膜。其临床表现与肠穿孔相似，但预后良好，无需手术治疗。我们报告一例55岁女性患者，诊断为升结肠息肉，因内镜切除入院。术后，她出现恶心、呕吐和右下腹疼痛。她被转至急诊科。腹部CT显示盲肠壁增厚，无气腹。因此，诊断为PPS，并通过肠道休息、肠外补液和抗生素治疗，患者完全康复。尽管其发病率较低，但怀疑该综合征很重要，以避免不必要的手术治疗并立即开始药物治疗。
