Ayari Myriam, Riahi Sameh, Abdelaali Imen, Jomni Taieb, Douggui Mohamed Hedi
Gastroenterology Department, Internal Security Forces Hospital La Marsa, Tunis, 2070, Tunisia.
University of Tunis El Manar, Tunis, 1068, Tunisia.
Future Sci OA. 2023 Sep 8;9(10):FSO903. doi: 10.2144/fsoa-2023-0115. eCollection 2023 Dec.
Iatrogenic orbital hematoma is a rare event, most often manifested by a painful exophthalmos that could compromise the patient's visual prognosis. We report the case of a 51-year-old female patient with a history of non-ischemic dilated cardiomyopathy and high blood pressure, who developed a painful exophthalmos following an upper gastrointestinal sedation-free endoscopy. The diagnosis of an intra-orbital hematoma was made by computed tomographic scan and a conservative attitude was adopted after a thorough ophthalmological examination. Upper endoscopy may trigger this condition in the presence of pre-existing predisposing factors such as blood clotting disorders, high blood pressure or vascular malformation. This case highlights an uncommon complication of a commonly performed endoscopy that endoscopists should be aware of to provide safe and optimal examination.
医源性眼眶血肿是一种罕见的情况，最常表现为疼痛性眼球突出，这可能会影响患者的视力预后。我们报告了一例51岁女性患者，她有非缺血性扩张型心肌病和高血压病史，在无镇静的上消化道内镜检查后出现了疼痛性眼球突出。通过计算机断层扫描诊断为眶内血肿，在进行全面的眼科检查后采取了保守治疗态度。在上消化道内镜检查中，如果存在诸如凝血障碍、高血压或血管畸形等预先存在的易感因素，可能会引发这种情况。该病例突出了一种常见内镜检查中不常见的并发症，内镜医师应予以关注，以提供安全且最佳的检查。
