A CASE OF DELAYED COLONOSCOPIC PERFORATION WITH RETROPERITONEAL HEMATOMA

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  • 大腸内視鏡検査による後腹膜血腫を契機に発症した遅発性大腸穿孔の1例

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Abstract

A 57-year-old woman developed persistent lower right abdominal bulging continuously after colonoscopy. Blumberg's sign and free air in the abdominal cavity were observed 17 days post colonoscopy. Emergency surgery was performed for suspected digestive tract perforation. Perioperatively, a large hematoma was observed in the retroperitoneal space of the hepatic flexure. The oral side at the hematoma of the ascending colon had been expanded and perforated. Therefore, a right hemicolectomy and ileostomy were performed. We report this case of delayed perforation of the ascending colon caused by retroperitoneal hematoma after colonoscopy and review the relevant literature.

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