Soheilipour Maryam, Tabesh Elham, Afsharzadeh Mahshad, Tabibian Amirhossein
Isfahan Gastroenterology and Hepatology Research Center (IGHRC) Isfahan University of Medical Sciences Isfahan Iran.
Medicine faculty Isfahan University of Medical Sciences Isfahan Iran.
Clin Case Rep. 2024 Feb 26;12(2):e8552. doi: 10.1002/ccr3.8552. eCollection 2024 Feb.
Endoscopic removal of premalignant polyps can prevent colorectal cancers. It is considered a safe procedure, yet there are some complications reported. Rectus abdominis muscle abscess (RAMA) is a type of pyomyositis seen as a complication of rectus sheath hematoma. Predisposing factors to RAMA include trauma, diabetes mellitus, alcohol abuse, Intravenous drug abuse and hematologic diseases.In this article, we report a case of a 74-year-old patient with abscess formation in the Rectus Abdominis muscle after colonoscopy and polypectomy with the application of abdominal pressure techniques without any early complications. Diagnosis of RAMA was made after a Computed Tomography scan and ultrasound-guided drainage, in addition to antibiotic therapy, were used as treatment.Although colonoscopy is considered a generally safe procedure, endoscopists should be aware of Rectus Abdominis sheath hemorrhage and RAMA in the following as a complication with the presentation of abdominal pain. Applying abdominal pressure should be done carefully To reduce minor trauma likelihood, owing to it being a predisposing factor of RAMA.
内镜下切除癌前息肉可预防结直肠癌。这被认为是一种安全的手术，但仍有一些并发症的报道。腹直肌脓肿（RAMA）是一种脓性肌炎，被视为腹直肌鞘血肿的并发症。RAMA的诱发因素包括创伤、糖尿病、酗酒、静脉药物滥用和血液系统疾病。在本文中，我们报告了一例74岁患者，在结肠镜检查和息肉切除术后，应用腹部加压技术，腹直肌出现脓肿形成，且无任何早期并发症。经计算机断层扫描诊断为RAMA，并采用超声引导下引流及抗生素治疗。尽管结肠镜检查通常被认为是一种安全的手术，但内镜医师应意识到，腹直肌鞘出血和RAMA作为腹痛表现的并发症可能会出现。由于腹部加压是RAMA的诱发因素，因此应谨慎进行，以降低轻微创伤的可能性。
