Abstract

Upper gastrointestinal fiberoptic panendoscopy is a safe and reliable means of diagnosing disease of the esophagus, stomach, and duodenum. Complications do, however, occur in less than 0.4% of procedures. ' · 2 They include aspiration, intramural hematomas, intestinal pseudo-obstruction, perforation, and impaction. 36 An unusual complication, strangulated small bowel obstruction, following an emergency panendoscopy is reported. CASE REPORT A 62-year-old man was referred because of passing melena stools for 48 hours. Duodenal ulcer had been demonstrated radiologically in the past. Ten years previously, right hemicolectomy had been performed for appendiceal abscess. Twelve months following this operation an episode of adhesive small intestinal obstruction had been corrected surgically. ·Reprint r-equests: Dr. E.J. Pollard, C/Royal Brisbane Hospital, Herston Road, Herston, Brisbane, 4029, Qld., Australia.

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