Kolonoskopi Sonrası Nadir Görülen Pnömoretroperitoneum, Pnömomediastinum, Pnömotoraks ve Subkutan Amfizem Olgusu

Yıl 2024, Cilt: 46 Sayı: 3, 489 - 492, 27.05.2024

Mehmet Ağar , İlham Gülçek , Muhammed Kalkan

https://doi.org/10.20515/otd.1371016

Öz

Kolonoskopi sonrası pnömoretroperitoneum, pnömomediastinum,pnömotoraks ve subkutan amfizem birlikteliği nadir görülen bir durumdur. Kolonoskopi sonrası görülen bu nadir klinik durumu literatüre katkı sağlaması amaçlı sunduk. Akut batın nedeniyle iki yıl önce opere olan hasta kolon darlığı nedeniyle kolonoskopi yapılan 62 yaşındaki erkek hasta işlem sonrası boynunda şişlik, göğsünde ve karnında cilt altı şişlik şikayeti ile başvurdu. Hastada pnömoretroperitoneum, pnömomediastinum ve subkutan amfizem tespit edildi. Kolonoskopi sonrası görülecek cilt altı amfizem durumunda akla pnömomediastinum ve pnömotoraks olma ihtimalide gelmelidir.

Anahtar Kelimeler

Pnömomediastinum, Pnömotoraks, Deri Altı Amfizemi, Kolonoskopi

A Rare Case of Concurrent Pneumoretroperitoneum, Pneumomediastinum, Pneumothorax and Subcutaneous Emphysema Seen After Colonoscopy

Öz

Coexistence of pneumoretroperitoneum, pneumomediastinum, pneumothorax and subcutaneous emphysema after colonoscopy is a rarely seen condition. We present this rare clinical condition seen after colonoscopy to contribute to the literature. A 62-year-old male patient, who was operated for acute abdomen two years ago, underwent colonoscopy due to colon stenosis. He applied with the complaints of swelling in the neck and subcutaneous swelling in the chest and abdomen after the procedure. Pneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema were detected in the patient In case of subcutaneous emphysema to be seen after colonoscopy, the possibility of pneumomediastinum and pneumothorax should also be considered.

Anahtar Kelimeler

Pneumomediastinum, Pneumothorax, Subcutaneous Emphysema, Colonoscopy

Kaynakça

• 1. Bouma G, van Bodegraven AA, van Waesberghe JH, Mulder CJ, Pieters-van den Bos IC. Post-colonoscopy massive air leakage with full body involvement: an impressive complication with uneventful recovery. Am J Gastroenterol. 2009;104:1330–1332.
• 2. Abdalla S, Gill R, Yusuf GT, Scarpinata R. Anatomical and Radiological Considerations When Colonic Perforation Leads to Subcutaneous Emphysema, Pneumothoraces, Pneumomediastinum, and Mediastinal Shift. Surg J 2018;4:e7–e13.
• 3. Chen TC, Hung JS, Lin BR, Huang J, Liang JT. Long-term follow-up for patients with colonic perforation due to colonoscopy: from clinical and medicolegal viewpoints. Formos. J. Surg. 2017;50(6):195–99.
• 4. Khan M, Ijaz M, Bukhari S, Dirweesh A, Christmas D. Post-colonoscopy colonic perforation presenting with subcutaneous emphysema: a case report. Gastroenterology Res. 2017;10(2):135–37.
• 5. de'Angelis N, Di Saverio S, Chiara O et al. 2017 WSES guidelines for the management of iatrogenic colonoscopy perforation. World J Emerg Surg. 2018;13:5.
• 6. Cai SL, Chen T, Yao LQ, Zhong YS. Management of iatrogenic colorectal perforation: from surgery to endoscopy. World J. Gastrointest. Endosc. 2015;7(8):819–23.
• 7. Lohsiriwat V. Colonoscopic perforation: incidence, risk factors, management and outcome. World J. Gastroenterol. 2010;16(4):425–30.
• 8. Jaafar S, Hung Fong SS, Waheed A, Misra S, Chavda K. Pneumoretroperitoneum with subcutaneous emphysema after a post colonoscopy colonic perforation. Int J Surg Case Rep. 2019;58:117-20.
• 9. 9.Tiwari A, Sharma H, Qamar K, Sodeman T, Nawras A. Recognition of Extraperitoneal Colonic Perforation following Colonoscopy: A Review of the Literature. Case Rep. Gastroenterol. 2017;11:256–64.