Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy

After colonoscopy with polypectomy, a patient developed a surgically acute abdomen. Although abdominal radiology did not show free air, a presumptive diagnosis of bowel perforation was made and laparotomy performed. At the time of surgery the colon was normal, and there was no peritoneal contaminati...

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Main Authors: Robert Patterson, Gerhard Klassen
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2000/893292
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author Robert Patterson
Gerhard Klassen
author_facet Robert Patterson
Gerhard Klassen
author_sort Robert Patterson
collection DOAJ
description After colonoscopy with polypectomy, a patient developed a surgically acute abdomen. Although abdominal radiology did not show free air, a presumptive diagnosis of bowel perforation was made and laparotomy performed. At the time of surgery the colon was normal, and there was no peritoneal contamination. A loop of ileum was discovered incarcerated into an internal paracecal hernia. The bowel was freed, and the operation was completed without need for resection. Several cases of incarcerated inguinal hernia resulting from endoscopy are described in the medical literature; this is the first reported case of an incarcerated internal hernia as a complication of colonoscopy.
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series Canadian Journal of Gastroenterology
spelling doaj-art-9167780ec6ff4aaa87f325c0b510c78d2025-02-03T06:08:25ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-01141195996010.1155/2000/893292Small Bowel Obstruction from Internal Hernia as a Complicaton of ColonscopyRobert Patterson0Gerhard Klassen1Leamington District Memorial Hospital, Leamington, Ontario, CanadaLeamington District Memorial Hospital, Leamington, Ontario, CanadaAfter colonoscopy with polypectomy, a patient developed a surgically acute abdomen. Although abdominal radiology did not show free air, a presumptive diagnosis of bowel perforation was made and laparotomy performed. At the time of surgery the colon was normal, and there was no peritoneal contamination. A loop of ileum was discovered incarcerated into an internal paracecal hernia. The bowel was freed, and the operation was completed without need for resection. Several cases of incarcerated inguinal hernia resulting from endoscopy are described in the medical literature; this is the first reported case of an incarcerated internal hernia as a complication of colonoscopy.http://dx.doi.org/10.1155/2000/893292
spellingShingle Robert Patterson
Gerhard Klassen
Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy
Canadian Journal of Gastroenterology
title Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy
title_full Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy
title_fullStr Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy
title_full_unstemmed Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy
title_short Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy
title_sort small bowel obstruction from internal hernia as a complicaton of colonscopy
url http://dx.doi.org/10.1155/2000/893292
work_keys_str_mv AT robertpatterson smallbowelobstructionfrominternalherniaasacomplicatonofcolonscopy
AT gerhardklassen smallbowelobstructionfrominternalherniaasacomplicatonofcolonscopy