Abstract
Colonoscopy is accepted as the best method in diagnosis, treatment, and follow-up of colorectal diseases. As the amount of the usage of diagnostic and therapeutic colonoscopy rises, iatrogenic complications are more likely to be seen. The most important complications are perforations and bleeding. Whereas perforation is a complication that is seen rarely, because of the high ratio of morbidity and mortality, it should be analyzed more carefully. There is not a common view on the optimal treatment of colonoscopic perforation. Most cases require urgent surgery, and in some cases the iatrogenic perforation of colon can be managed by conservative methods. In this report, we present a rectosigmoid perforation under peritoneal reflection and conservative management of this case.
Highlights
IntroductionAs the amount of the usage of diagnostic and therapeutic colonoscopy rises, especially as a depending of the usage of aggressive therapeutic interventions such as polypectomy, iatrogenic complications are more likely to be seen
Since colonoscopy was introduced in 1969 at the Department of Surgery of Beth Israel Medical Center in New York City, it is accepted as the best method in diagnosis, treatment, and follow-up of colorectal diseases [1]
We present a rectosigmoid perforation under peritoneal reflection and conservative management of this case
Summary
As the amount of the usage of diagnostic and therapeutic colonoscopy rises, especially as a depending of the usage of aggressive therapeutic interventions such as polypectomy, iatrogenic complications are more likely to be seen. Whereas perforation is a complication that is seen rarely, because of the high ratio of morbidity and mortality, it should be analyzed more carefully. Retrospective studies have determined perforation incidences of 0.02–0.8% and 0.15–3% for diagnostic and therapeutic colonoscopy, respectively [3]. The traditional management of iatrogenic perforation is surgical repair by either laparotomy or laparoscopy. Most cases require urgent surgery, and in some cases the iatrogenic perforation of colon can be managed by conservative methods. We present a rectosigmoid perforation under peritoneal reflection and conservative management of this case
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