Delayed mid-ileal perforation secondary to acute-on-chronic ischaemia after a diagnostic colonoscopy.

Abstract:

:Perforation occurring at a remote site of the bowel after diagnostic colonoscopy is rare. A 61-year-old man presenting with bloody diarrhoea underwent colonoscopy. A dynamic ileus developed in less than 1 day, and mid-ileal perforation occurred 7 days after the procedure. It is suggested that high air pressure during colonoscopy further compromised the reduced blood flow in the mid-ileum, which had underlying chronic ischaemia, leading to perforation. Our patient constitutes the first reported case of small-bowel perforation after colonoscopy due to pre-existent ileal ischaemia.

journal_name

Scand J Gastroenterol

authors

Chau TN,Ng C,Lau LK,Lai ST,Yuen H

doi

10.1080/003655298750027065

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

1002-4

issue

9

eissn

0036-5521

issn

1502-7708

journal_volume

33

pub_type

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