Korean Journal of Gastrointestinal Endoscopy 2003;26(4): 232-235.
내시경적 클립술로 치료한 직장천공 1예
신현필·동석호·김장하·한요셉·이병욱·정용희
경희대학교 의과대학 내과학교실
A Case of Iatrogenic Rectal Perforation Repaired by Endoscopic Clipping
Hyun Phil Shin, M.D., Seok Ho Dong, M.D., Jang Ha Kim, M.D., Yo Seb Han, M.D.,
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
Abstract
Although colonoscopy is commonly performed, it is an invasive procedure that might produce complications such as hemorrhage and perforation. Colonic perforation is an abdominal emergency with high mortality requiring surgical intervention. Sometimes non-surgical teatment can be applied when perforation is small sized, located in the retoperitoneal spaces or surgical approach is impossible. We are reporting a case of colon perforation in 64-year-old female patient. The patient visited our hospital with symptoms of dizziness and dyspnea. She was anemic and we planned to find the possible cause of anemia. Rectal perforation was developed during the diagnostic colonoscopy. However the operation was not applicable due to arrhythmia and cardiogenic shock. Therefore endoscopic clipping was done at the perforation site. Afterwards nasogastric decompression, intravenous antibiotics and total parenteral nutrition were applied. She was treated successfully without any complications. (Korean J Gastrointest Endosc 2003;26:232235)
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