Document Detail

Pneumatic ileal perforation: an unusual complication of colonoscopy.
MedLine Citation:
PMID:  1248689     Owner:  NLM     Status:  MEDLINE    
Pneumatic perforation of the bowel is a rare complication of colonoscopy. Pneumatic ileal perforation complicating this procedure has not been reported. We describe a case of pneumatic ileal perforation during colonoscopy in an elderly lady who also had adhesions from previous abdominal surgery. A relative lack of symptomatology, the finding of a clean ileal perforation at surgery, and a benign postoperative period characterized her course. Possible etiological factors are discussed with reference to the literature dealing with intraluminal pressures in the bowel. Pressure much higher than the physiological pressure is likely to be reached during colonoscopy, with reflux of air across the ileocecal sphincter acting as a safety mechanism. Bursting pressures differ for different layers of the bowel and from segment to segment. This report calls attention to certain risk factors which might lead to a remote perforation during colonoscopy.
I A Razzak; J Millan; M M Schuster
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gastroenterology     Volume:  70     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1976 Feb 
Date Detail:
Created Date:  1976-04-09     Completed Date:  1976-04-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  268-71     Citation Subset:  AIM; IM    
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MeSH Terms
Colonic Diseases / etiology*
Endoscopy / adverse effects*
Ileum / injuries*,  surgery
Intestinal Perforation / etiology*
Pneumoperitoneum / etiology
Pressure / adverse effects*
Tissue Adhesions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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