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Among 334 colonoscopies underwent for six years since 1976 its complication was one in number, or 0.30 per cent. A case with subcutaneous emphysema of the neck as a complication of colonscopy was reported. A 59-year-old woman with diarrhea and melena had colonoscopic examination under diagnosis of multiple polyps of the splenic flexure. Fiberscopic procedure of passing sigmoid colon was used alpha-loop method and sliding tube. Fifteen hours later, lower abdominal pain and low grade fever were developed, and then twenty hours later, subcutaneous emphysema was developed. Radiologically, retroperitoneal and mediastinal emphysema was revealed without pneumoperitoneum and clinically, there were no symptoms of acute peritonitis. This patient recovered by conservative therapy for six days. Though laparotomy was perfomed for the treatment of polyps sevendays after colonoscopy, the site of perforation was unable to find out. A report of a case of this complication and a discussion on its occhrrence and management was presented.
日本大腸肛門病学会の論文