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J Korean Soc Emerg Med > Volume 18(5); 2007 > Article
Journal of The Korean Society of Emergency Medicine 2007;18(5): 438-442.
A case of the Colon Perforated Patient Visited Emergency Department for Pneumomediastinum
Kyoung Min Moon, Hyeon Woong Yang, Young Mo Yang, Woong Chul Lee, Sin Hyung Lim, Sang Hyun Park, Gi Young Choi, Yun Jung Lee, Sung Hee Jung, Anna Kim, Sang Woo Cha
1Department of Internal Medicine, Eulji University School of Medicine, Korea. 20040544@eulji.ac.kr
2Department of Emergency Medicine, Eulji University School of Medicine, Korea.
Bleeding and perforation are serious and commonly observed complications of colonofibroscopy. Pneumoretroperitoneum and pneumomediastinum are also infrequently reported as complications of colonofibroscopy. Clinical symptoms of pneumomediastinum are variable, with chest pain being the most common symptom, and a definitive diagnosis can be made by chest X-ray. Most cases can be successfully managed with only conservative treatment. Infrequently surgical managements are required. We report an unusual case of pneumoretroperitoneum and pneumomediastinum as a complication of colonofibroscopy. Pneumomediastinum was treated successfully and simply with only antibiotics and fasting.
Key words: Colonoscopy, Intestinal Perforation, Retropneumoperitoneum, Mediastinal Emphysema
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