Korean J Gastrointest Endosc.  2003 Apr;26(4):232-235.

A Case of Iatrogenic Rectal Perforation Repaired by Endoscopic Clipping

• Shin HP
• Dong SH
• Kim JH
• Han YS
• Lee BW
• Joung YH
• Kim HJ
• Kim BH
• Chang YW
• Lee JI
• Chang R

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.

Keyword

Rectal perforation; Endoscopic clipping

MeSH Terms

Anemia
Anti-Bacterial Agents
Arrhythmias, Cardiac
Colon
Colonoscopy
Decompression
Dizziness
Dyspnea
Emergencies
Female
Hemorrhage
Humans
Middle Aged
Mortality
Parenteral Nutrition, Total
Shock, Cardiogenic
Anti-Bacterial Agents