Humphreys F, Hewetson K A, Dellipiani A W
Endoscopy. 1984 Jul;16(4):160-1. doi: 10.1055/s-2007-1018566.
A case of massive subcutaneous emphysema following colonoscopic polypectomy is reported. The incidence of colonic perforation following colonoscopy is 0.1% and may be intraperitoneal or retroperitoneal. Intraperitoneal perforation is usually immediately apparent and likely to require urgent surgical exploration. The development of subcutaneous emphysema or a pneumoscrotum suggests a retroperitoneal perforation and in the majority of cases management is conservative. Contrast studies are often unhelpful but plain x-rays may help to distinguish between intraperitoneal and retroperitoneal perforations.
本文报告了一例结肠镜息肉切除术后发生大量皮下气肿的病例。结肠镜检查后结肠穿孔的发生率为0.1%，可能为腹腔内或腹膜后穿孔。腹腔内穿孔通常立即显现，可能需要紧急手术探查。皮下气肿或阴囊积气的出现提示腹膜后穿孔，在大多数情况下，治疗是保守的。造影检查往往没有帮助，但普通X线片可能有助于区分腹腔内和腹膜后穿孔。
