Virtual colonoscopy-induced perforation in a patient with Crohn＇s disease

We report a case of sigmoid colon perforation in a patient with Crohn＇s disease undergoing computedtomographic （CT） colonography. A 70-year-old patient with Crohn＇s disease with terminal ileitis and sigmoid stricture underwent CT colonography after incomplete conventional colonoscopy. During the pro...

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Bibliographic Details
Published inWorld journal of gastroenterology : WJG Vol. 13; no. 6; pp. 978 - 979
Main Author Sunny H Wong Vincent WS Wong Joseph JY Sung
Format Journal Article
LanguageEnglish
Published 2007
Subjects
克罗恩氏病
炎症性肠疾病
结肠镜
诱发穿孔
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Summary:We report a case of sigmoid colon perforation in a patient with Crohn＇s disease undergoing computedtomographic （CT） colonography. A 70-year-old patient with Crohn＇s disease with terminal ileitis and sigmoid stricture underwent CT colonography after incomplete conventional colonoscopy. During the procedure, the colon was inflated by air insufflation and the patient developed abdominal pain with radiological evidence of retroperitoneal and intraperitoneal free gas. Hartmann＇s operation was performed. This case highlights that CT colonography is not risk-free. The risk of perforation may be higher in patients with inflammatory bowel disease.
Bibliography:Inflammatory bowel disease
R656.7
Hartmann＇s
Perforation
14-1219/R
Colonography
Perforation; Colonography; Crohn＇s disease; Stricture; Hartmann＇s; Inflammatory bowel disease
Stricture
Crohn＇s disease
ISSN:1007-9327
2219-2840