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Mehmood F, Jamil H, Amin S, Fares J, Patel M. Colonic Intussusception Following Colonoscopy: A Case Report and Literature Review. GASTRO HEP ADVANCES 2025; 4:100612. [PMID: 40256314 PMCID: PMC12008563 DOI: 10.1016/j.gastha.2024.100612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/11/2024] [Accepted: 12/31/2024] [Indexed: 04/22/2025]
Abstract
Intussusception following a colonoscopy is a rare complication, potentially triggered by biopsies or polypectomies. The most common symptoms include abdominal pain, nausea, vomiting, hematochezia, and fever. A computed tomography scan is the most sensitive diagnostic tool for detecting intussusception. While management is usually conservative, surgery may be required in rare instances. Only 13 cases of colo-colonic intussusception following colonoscopy have been reported, and among those, 4 needed a surgical intervention. We present a case of an elderly male who developed colo-colonic intussusception requiring a hemicolectomy after undergoing a colonoscopy with polypectomy.
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Affiliation(s)
- Faisal Mehmood
- Department of Gastroenterology, HonorHealth, Phoenix, Arizona
| | - Hajra Jamil
- Colon and Rectal Care Center of Phoenix, Phoenix, Arizona
| | - Shreya Amin
- Department of Gastroenterology, HonorHealth, Phoenix, Arizona
| | - Joseph Fares
- Department of Gastroenterology, HonorHealth, Phoenix, Arizona
| | - Mehul Patel
- Department of Gastroenterology, HonorHealth, Phoenix, Arizona
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2
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Kim KH, Kim JS, Lee MS, Han HY, Kim JH. A Case of Colonic Intussusception with Post-polypectomy Electrocoagulation Syndrome and Review of Literature: How to Manage Intussusception Following Colonoscopy? THE KOREAN JOURNAL OF GASTROENTEROLOGY = TAEHAN SOHWAGI HAKHOE CHI 2024; 84:132-137. [PMID: 39319435 DOI: 10.4166/kjg.2024.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2024] [Revised: 09/10/2024] [Accepted: 09/16/2024] [Indexed: 09/26/2024]
Abstract
Colonic intussusception is often reported to be related to malignancy in adults. Colonoscopy itself with or without polypectomy is known to be a rare cause of colonic intussusception. We encountered a case in which an individual was diagnosed with intussusception following colonoscopy. The patient was a 44-year-old female who, on the same day, had undergone a colonoscopy including endoscopic mucosal resection for a polyp in the ascending colon. She visited the emergency room with complaints of right-sided abdominal pain. Abdominal examination revealed peritoneal irritation in the right upper quadrant. Abdominal CT revealed colocolic intussusception near the hepatic flexure. This was suspected to have been induced by post-polypectomy electrocoagulation syndrome. A laparoscopic right hemicolectomy was performed because conducting a reduction trial through colonoscopy involves a high risk of peritonitis, in addition to a low likelihood of spontaneous reduction of intussusception due to the additional edema and ischemia resulting from the polypectomy. The patient was discharged without complications six days after the surgery. Though some cases have been reported, there is no treatment strategy for intussusception following colonoscopy. Therefore, we report this case of colonic intussusception following colonoscopy, which was found to be caused by Post-polypectomy Electrocoagulation Syndrome, with a literature review.
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Affiliation(s)
- Kyung Hoe Kim
- Department of Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea
| | - Joo-Seok Kim
- Department of Internal Medicine, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea
| | - Moon-Soo Lee
- Department of Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea
| | - Hyun-Young Han
- Department of Radiology, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea
| | - Joo Heon Kim
- Department of Pathology, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea
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3
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Xiang SH, Xu GQ. Colo-colonic intussusception as a rare complication of colonoscopy with polypectomy: Two case reports. World J Gastrointest Surg 2024; 16:1939-1947. [PMID: 38983333 PMCID: PMC11229999 DOI: 10.4240/wjgs.v16.i6.1939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 04/28/2024] [Accepted: 05/23/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Colonoscopy is the most frequently used diagnostic and therapeutic tool for the treatment of colorectal diseases. Although the complication rate is low, it can be potentially serious. Intussusception is a rare and severe complication often associated with polypectomy. Only a handful of post-colonoscopy intussusception cases have been reported, making this study a valuable addition to the medical literature. CASE SUMMARY Case 1: A 61-year-old man underwent colonoscopy with polypectomy for chronic abdominal pain. The patient experienced abdominal pain 11 hours later but was still discharged after pain management. He was readmitted due to recurring pain. Computed tomography (CT) showed colo-colonic intussusception. Initial conservative management and attempts at endoscopic reduction failed; therefore, laparoscopic right hemicolectomy was performed. Histopathological examination revealed tubular adenomas in the polyps and inflammation in the resected specimens. Case 2: A 59-year-old woman underwent colonoscopy with polypectomy for a polyp in the transverse colon. She experienced upper abdominal pain, fever, nausea, and vomiting 9 hours after the procedure. Emergency CT and blood tests revealed a colo-colonic intussusception near the hepatic flexure and an elevated white blood cell count. Initial attempts at endoscopic reduction failed and conservative treatment showed no improvement. She underwent successful laparoscopic reduction and recovered uneventfully. Histopathological examination of the resected polyp revealed hyperplasia. CONCLUSION Post-colonoscopy intussusception in adults is rare, and polypectomy may contribute to its occurrence. Early diagnosis is crucial, with prompt CT examination serving as key. After excluding malignancies, conservative management and reduction of intussusception should be considered before surgical bowel resection.
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Affiliation(s)
- Sai-Heng Xiang
- Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
| | - Guo-Qiang Xu
- Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
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Hashiguchi K, Mine S, Shiota J, Akashi T, Tabuchi M, Kitayama M, Matsushima K, Akazawa Y, Yamaguchi N, Nakao K. Colonic intussusception after endoscopic mucosal resection successfully managed by endoscopic procedure. Clin J Gastroenterol 2024; 17:466-471. [PMID: 38504057 DOI: 10.1007/s12328-024-01953-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 03/10/2024] [Indexed: 03/21/2024]
Abstract
Adult-onset intussusception, particularly associated with colonoscopy, is extremely rare. A 78-year-old man, referred to our hospital for colonic endoscopic mucosal resection (EMR), experienced subsequent dull abdominal pain, as well as elevated peripheral blood leukocytosis and C-reactive protein levels. Abdominal computed tomography (CT) revealed a colocolonic intussusception at the hepatic flexure. Emergency colonoscopy revealed ball-like swollen mucosa distal to the EMR site of the ascending colon. The mucosa was intact without necrosis. The endoscopic approach was able to temporarily release the intussusception. A transanal drainage tube was inserted through the endoscope to prevent relapse. Both CT and colonoscopy showed release of the intussusception. Our case underscores the importance of considering colocolonic intussusception in post-colonoscopy abdominal pain, advocating for endoscopic management after excluding mucosal necrosis.
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Affiliation(s)
- Keiichi Hashiguchi
- Department of Endoscopy, Nagasaki University Hospital, 1-7-1, Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
- Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
| | - Shoichiro Mine
- Department of Gastroenterology, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan
| | - Junya Shiota
- Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Taro Akashi
- Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Maiko Tabuchi
- Department of Histology and Biomedical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Moto Kitayama
- Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Kayoko Matsushima
- Medical Education Development Center, Nagasaki University Hospital, Nagasaki, Japan
| | - Yuko Akazawa
- Department of Histology and Biomedical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Naoyuki Yamaguchi
- Department of Endoscopy, Nagasaki University Hospital, 1-7-1, Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan
| | - Kazuhiko Nakao
- Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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5
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Jastaniah A, AlBusaidi N, Bandegi P, Grushka J. Intussusception after colonoscopic polypectomy: a rare complication. BMJ Case Rep 2023; 16:e255048. [PMID: 37270178 PMCID: PMC10254697 DOI: 10.1136/bcr-2023-255048] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
We present a patient who developed an ileocolic intussusception within a few hours of undergoing an endoscopic polypectomy found on screening colonoscopy. She underwent a laparoscopic right hemicolectomy with intracorporeal anastomosis. Final histopathological examination showed no evidence of malignancy. Intussusception after colonoscopy is a rare complication, and only 11 cases have been reported prior to this case. Laparoscopic resection with intracorporeal anastomosis is a safe and feasible option in patients who are not candidates or failed conservative management.
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Affiliation(s)
- Atif Jastaniah
- Division of General Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada
| | - Nasra AlBusaidi
- Division of General Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada
| | - Pouya Bandegi
- Department of Diagnostic Radiology, McGill University, Montreal, Quebec, Canada
| | - Jeremy Grushka
- Division of General Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada
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6
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Luciano E, Marar O, Cocco M. OUP accepted manuscript. J Surg Case Rep 2022; 2022:rjac184. [PMID: 35665398 PMCID: PMC9154063 DOI: 10.1093/jscr/rjac184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 04/06/2022] [Indexed: 11/12/2022] Open
Abstract
The incidence of complications after colonoscopy is low and has been reported to range of 0.01–0.9%. Of these complications, colocolonic intussusception after colonoscopy is exceedingly rare, with around 12 known cases described in the literature. This case report details the presentation and operative management of a patient who developed an ischemic stoma due to a colocolonic intussusception of an end colostomy after a colonoscopy. Intraoperative surgical exploration revealed a colocolonic intussusception involving the end colostomy. This is the first known documented occurrence of this phenomenon.
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Affiliation(s)
| | - Omar Marar
- Department of Surgery, Central Michigan University College of Medicine, Saginaw, MI, USA
| | - Maxwell Cocco
- Department of Surgery, Central Michigan University College of Medicine, Saginaw, MI, USA
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7
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Vadakkenchery Varghese E, Steen C, Juszczyk K, An V. Splenic flexure intussusception: a rare complication post colonoscopy. ANZ J Surg 2021; 92:1545-1546. [PMID: 34694677 DOI: 10.1111/ans.17325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 10/12/2021] [Accepted: 10/16/2021] [Indexed: 11/27/2022]
Affiliation(s)
| | - Christopher Steen
- Department of Colorectal Surgery, Eastern Health, Box Hill, Victoria, Australia
| | - Karolina Juszczyk
- Department of Colorectal Surgery, Eastern Health, Box Hill, Victoria, Australia
| | - Vinna An
- Department of Colorectal Surgery, Eastern Health, Box Hill, Victoria, Australia.,Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
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Abstract
We present a 42-year-old woman who developed colo-colonic intussusception of the transverse colon near the hepatic flexure within a few hours after a routine colonoscopy. After conservative management with pain medication and hydration, her symptoms completely resolved within 24 hours. Colonic intussusception after a colonoscopy is rare, and the present case describes the most conservative approach leading to a complete resolution of symptoms.
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9
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He H, Rambhujun V, DeMaria M, Ali M, Vrabie R. Early Postendoscopic Transverse Colo-Colonic Intussusception. Case Rep Gastroenterol 2020; 14:1-6. [PMID: 32009867 PMCID: PMC6984140 DOI: 10.1159/000505228] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 11/27/2019] [Indexed: 11/23/2022] Open
Abstract
Intussusception is defined as telescoping of the proximal bowel (intussusceptum) into the lumen of the distal bowel, otherwise called the intussuscipiens. While it is one of the most common causes of intestinal obstruction in children between the ages of 3 months and 6 years, intussusception accounts for about 1% of such cases in adults. Intussusception is idiopathic in 8–20% of patients and most commonly occurs in the small intestines in adults. We describe the unique case of a colo-colonic intussusception in a 54-year-old female patient 1 week after a colonoscopy for suspected inflammatory bowel disease. The discussion focuses on the presentation and management options of intussusception.
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Affiliation(s)
- Harry He
- Department of Medicine, NYU Winthrop University Hospital, Mineola, New York, USA
| | | | - Matthew DeMaria
- Department of Medicine, NYU Winthrop University Hospital, Mineola, New York, USA
| | - Mohammad Ali
- Gastroenterology and Hepatology, Guthrie Cortland Medical Center, Cortland, New York, USA
| | - Raluca Vrabie
- Department of Gastroenterology, NYU Winthrop University Hospital, Mineola, New York, USA
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10
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Hassan WAW, Teoh W. Intussusception after Colonoscopy: A Case Report and Review of Literature. Clin Endosc 2018; 51:591-595. [PMID: 30300987 PMCID: PMC6283765 DOI: 10.5946/ce.2018.056] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 05/21/2018] [Indexed: 11/14/2022] Open
Abstract
Intussusception after colonoscopy is an unusual complication. A MEDLINE search revealed only 7 reported cases. We present a report of a 28-year-old man who developed abdominal pain several hours after routine colonoscopy and in whom computed tomography (CT) revealed colocolic intussusception. We postulate that this condition is iatrogenic and induced by suctioning of gas on withdrawal of the colonoscope. A common observation among the reported cases was abdominal pain several hours after colonoscopy and right-sided intussusception. All cases had colonoscopy reaching the right side of the colon. Treatment for adult intussusception remains controversial with regard to reduction versus resection, especially given the high association with a pathological cause and malignancy. Among the 8 reported cases, only the current case did not require surgery. A combination of benign colonoscopy, CT, and the clinical picture should provide sufficient information to initially choose a more conservative treatment approach.
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Affiliation(s)
- Wan Amir Wan Hassan
- Colorectal Surgery, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
| | - William Teoh
- Colorectal Surgery, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
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11
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Abstract
We present a 31-year-old woman who developed ascending colon intussusception several hours after a routine colonoscopy where random mucosal biopsies were obtained. She underwent an ileocolic resection, and pathology did not show an etiology for the intussusception. Colonic intussusception occuring without pathology and after minimal intervention is rare.
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12
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Lasithiotakis K, Grisbolaki E, Filis D, Athanasakis I, Zoras O, Chalkiadakis G. Ileocolic intussusception precipitated by diagnostic colonoscopy: a case report. Surg Laparosc Endosc Percutan Tech 2012; 22:e161-e163. [PMID: 22678343 DOI: 10.1097/sle.0b013e31824b230f] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Only 5% of all cases of intussusceptions occur in adults. Intussusception complicating colonoscopy is an extremely rare event. Herein, we present a case of a 58-year-old man who developed ileocolic intussusception after a colonoscopy during which an adenomatous polyp was discovered in the terminal ileum. Eight hours after colonoscopy, the patient developed diffuse abdominal pain associated with vomiting and bloody diarrhea. A contrast-enhanced abdominal computed tomography scan revealed features of mechanical intestinal obstruction and a round soft tissue mass inside the right colon, followed by the wall of the intussusceptum. Emergency laparotomy revealed extended ileocecal intussusception with the polyp incarcerated by the ileocecal valve. A typical right hemicolectomy was performed, and the patient had an uneventful recovery. Histologic examination of the surgical specimen revealed an inflammatory fibroid polyp. Ileocolic intussusception due to an ileal polyp may be precipitated by colonoscopy and should be included in the differential diagnosis of acute abdomen after colonoscopy.
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13
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Nachnani J, Burns E, Margolin D, Clarkston WK. Colocolonic intussusception after colonoscopy. Gastrointest Endosc 2012; 75:223-5. [PMID: 21481863 DOI: 10.1016/j.gie.2011.01.046] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2010] [Accepted: 01/21/2011] [Indexed: 02/08/2023]
Affiliation(s)
- Jagdish Nachnani
- Department of Gastroenterology and Hepatology, University of Missouri, Kansas City, MO, USA
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14
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Sam JJ, Mustard R, Kandel G, Gardiner G, Ghaffar H, Kirpalani A, May G, Kim YI. Colonoscopy Leads to A Diagnosis of A Jejunal Gastrointestinal Stromal Tumour (GIST). Gastroenterology Res 2011; 4:277-282. [PMID: 27957028 PMCID: PMC5139866 DOI: 10.4021/gr380w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/08/2011] [Indexed: 11/08/2022] Open
Abstract
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors in the gastrointestinal (GI) tract, but are the least common of small intestinal malignant neoplasms. While GI bleeding is the most common clinical presentation of GISTs, intussusception and obstruction are uncommon, as GISTs rarely grow into the lumen. We describe an unusual case of a 50-year-old male who presented with intermittent obscure, overt GI bleeding requiring multiple hospital admissions and blood transfusions. His work-up included abdominal CT imaging, small bowel follow-through, gastroscopies, push enteroscopy, colonoscopies, and anterograde and retrograde double-balloon enteroscopies. Complicating his presentation were colonic angiodysplasias and the development of recurrent venous thromboembolism requiring anticoagulation. Within an hour after an apparently uncomplicated colonoscopy, he developed an acute abdomen secondary to a jejunal intussusception, which led to a laparoscopic small bowel resection and the diagnosis of a jejunal GIST. Given his GIST had no high-risk features, ongoing surveillance with abdominal CT imaging was arranged. This case illustrates the complex presentation and diagnostic difficulty of a jejunal GIST causing obscure, overt GI bleeding and this is the first reported case of a jejunal intussusception following colonoscopy. Due to its submucosal location, multiple endoscopic approaches had failed to diagnose the GIST prior to surgery.
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Affiliation(s)
- Justina J Sam
- Division of Gastroenterology, Department of Medicine, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Robert Mustard
- Division General Surgery, Department of Surgery, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Gabor Kandel
- Division of Gastroenterology, Department of Medicine, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Geoffrey Gardiner
- Department of Laboratory Medicine and Pathobiology, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Hasan Ghaffar
- Department of Laboratory Medicine and Pathobiology, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Anish Kirpalani
- Department of Medical Imaging, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Gary May
- Division of Gastroenterology, Department of Medicine, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
| | - Young-In Kim
- Division of Gastroenterology, Department of Medicine, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada
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15
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Abstract
The authors discuss a case of colon intussusception following colonoscopy successfully treated by laparoscopic reduction. Intussusception occurs when a mass in the bowel is pulled forward by normal peristalsis, with resultant invagination of the involved bowel wall. In the absence of a mass, intussusception may be caused by functional disturbances without gross mural abnormality. Colo-colonic intussusception in adult is relatively rare and usually secondary to a definable lesion, the majority of which are malignant in nature. Idiopathic intussusception in adults is rare and its pathogenesis is poorly understood. We present a case report of an adult colo-colonic intussusception occurring after colonoscopy, which was treated successfully with laparoscopic reduction. We speculate that the intussusception was induced by post-polypectomy mucosal edema acting as a lead point and therefore can be treated without resection.
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Affiliation(s)
- Mindy M Ho
- Department of Colon and Rectal Surgery, Metropolitan Group Hospitals Residency in General Surgery, Lutheran General Hospital, Park Ridge, Illinois, USA
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16
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Hunter IA, Sarkar R, Smith AM. Small bowel obstruction complicating colonoscopy: a case report. J Med Case Rep 2008; 2:179. [PMID: 18505563 PMCID: PMC2423373 DOI: 10.1186/1752-1947-2-179] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2008] [Accepted: 05/27/2008] [Indexed: 11/29/2022] Open
Abstract
Introduction This report describes a rare complication of colonoscopy and reviews the literature with regard to other rare causes of acute abdominal presentations following colonoscopy. Case presentation After a therapeutic colonoscopy a 60-year-old woman developed an acute abdomen. At laparotomy she was discovered to have small bowel obstruction secondary to incarceration through a congenital band adhesion. Conclusion Although there is no practical way in which such rare complications can be predicted, this case report emphasises the wide array of pathologies that can result in acute abdominal symptoms following colonoscopy.
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Affiliation(s)
- Iain A Hunter
- St. James's University Hospital, Beckett Street, Leeds, West Yorkshire, UK.
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17
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Kitahara H, Horiuchi A, Nakayama Y, Yokoyama T, Koyama Y, Morikawa A, Miyazawa K, Hayashi K. Retrograde intussusception caused by a sigmoid colonic tumor: reduction by the use of a transanal drainage tube. Gastrointest Endosc 2005; 61:482-4. [PMID: 15758931 DOI: 10.1016/s0016-5107(04)02646-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Hiroe Kitahara
- Department of Gastroenterology, Showa Inan General Hospital,3230 Akaho, Komagane 399-4191, Japan
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18
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Youssef S, Jaidane M, Sakhri J, Belltaifa D, Kehila M. [Intestinal invagination after vagotomy in adults]. ANNALES DE CHIRURGIE 2001; 126:786-8. [PMID: 11692766 DOI: 10.1016/s0003-3944(01)00598-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Intestinal intussusception is a rare condition in adults. In most cases, it is caused by a benign or malignant intestinal tumor. Primitive forms are infrequent, and their occurrence following troncular vagotomoy has never been described in the literature, according to our knowledge. Two cases of post-vagotomy jejuno-jejunal intussusception are reported.
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Affiliation(s)
- S Youssef
- Service de chirurgie générale, CHU Farhat Hached, Sousse, Tunisie
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