Benign pneumoperitoneum can happen after colonoscopy, which shows itself as free air in the abdomen without symptoms or pneumoperitoneum without peritonitis. In this case, we reported a rare case of an elderly man who had acute abdominal stiffness after colonoscopy and observation of free air under the diaphragm that no perforation was observed in the intestine during laparoscopy and only one tiny intestinal tumor was randomly reported. There is no consensus on the treatment of pneumoperitoneum after colonoscopy. Patients with peritonitis benefit from laparoscopy but patients with micro perforation and asymptomatic patients benefit from intravenous antibiotic treatment and bowel rest.
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http://dx.doi.org/10.4103/abr.abr_376_22 | DOI Listing |
Radiol Case Rep
January 2025
Northeast Georgia Health System, Northeast Georgia Medical Center, Trauma and Acute Care Surgery Department, 743 Spring Street NE Gainesville, GA 30501.
Rev Esp Enferm Dig
December 2024
Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal .
Background: Cecal perforation from barotrauma is a rare complication of colonoscopy, even with the use of CO₂ insufflation, which is generally preferred over room air due to its rapid absorption and reduced patient discomfort.
Case Report: A 64-year-old woman with hypertension and dyslipidemia underwent a routine colonoscopy with CO₂ insufflation. Multiple diverticula were noted, and upon reaching the cecum, several parallel linear lesions with spontaneous bleeding, consistent with "cat scratch" colon, were observed.
Case Rep Gastrointest Med
June 2024
Universidad Nacional Autónoma de México, Mexico City, Mexico.
Background: Colonoscopy is a resource used for the diagnosis, treatment, and monitoring of benign and malignant colorectal pathologies. The incidence of perforation is 0.03%-0.
View Article and Find Full Text PDFInt J Surg Case Rep
March 2024
Department of General Surgery, Hopital la Rabta, Tunis, Tunisia.
Introduction And Significance: Pneumatosis intestinalis (PI), the presence of gas within the intestinal wall, is a rare but significant gastrointestinal condition. It may be associated with underlying gastrointestinal disorders or detected incidentally, posing diagnostic challenges. This article emphasizes the importance of recognizing and managing this condition conservatively when appropriate.
View Article and Find Full Text PDFGastrointest Endosc
July 2024
Department of Gastroenterology, Gaochun People's Hospital of Nanjing, Nanjing, China.
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