Scoliosis as a Rare Risk Factor for Colon Perforation during Colonoscopy: The Second Reported Case and Literature Review
Sameer AlOsaimi, Shehab Ekrouf, Ahmed AlMulla
Citation Information :
AlOsaimi S, Ekrouf S, AlMulla A. Scoliosis as a Rare Risk Factor for Colon Perforation during Colonoscopy: The Second Reported Case and Literature Review. World J Lap Surg 2014; 7 (3):133-135.
Colonoscopy has been accepted as the best method for the screening, diagnosis, treatment and follow-up of colorectal pathologies. It is an invasive procedure with many recognized complications such as iatrogenic colonic perforation (CP). Knowledge of the factors influencing (CP) is of decisive importance, especially with regard to the avoidance or minimization of the perforations. This is the second case in the literature with such unreported and rare risk factor for iatrogenic colonoscopic perforation.
Case summary
We reported a 66-year-old female, not known to have any medical problems, underwent colonoscopy screening. No abnormalities detected up to the rectosigmoid junction when the gastroenterologist noted sudden and massive abdominal distension, the patient started com- plaining of severe generalized abdominal pain, however, she was hemodynamically stable. The procedure abandoned. Abdominal X-ray showed severe scoliotic deformity of the lumber spine with massive pneumoperitoneum. Diagnostic laparoscopy showed a small perforation at the anterior wall of sigmoid colon which was repaired, no fecal soiling of the peritoneal cavity was found as she was prepared for colonoscopy. Her course was unremarkable, and she was discharged 7 days later. A 2-week follow-up showed her to be asymptomatic with healed laparoscopic surgery scars and normal bowel motion.
Conclusion
Patients with skeletal deformity such as scoliosis undergoing colonoscopy have a higher risk of iatrogenic colonoscopic perforation. Symptoms of abdominal pain and distension during colonoscopy in this group of patients should alert the treating doctor for the possibility of colon injury which should be managed accordingly.
How to cite this article
AlOsaimi S, Ekrouf S, AlMulla A. Scoliosis as a Rare Risk Factor for Colon Perforation during Colonoscopy: The Second Reported Case and Literature Review. World J Lap Surg 2014;7(3):133-135.
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