Open AccessSubcutaneous Emphysema, Pneumothorax, Pneumomediastinum, and Pneumoperitoneum During Colonoscopic Balloon Dilation: A Case Report
Author(s) -
Chan YiChen,
Tsai YuChuan,
Fang ShihYuan
Publication year - 2010
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(10)70102-9
Subject(s) - medicine , pneumomediastinum , subcutaneous emphysema , pneumothorax , pneumoperitoneum , surgery , balloon , complication , balloon dilation , intubation , colonoscopy , radiology , colorectal cancer , cancer , laparoscopy
A 77‐year‐old woman underwent colonoscopic balloon dilatation for colonic stricture 1 year after laparoscopic anterior resection of sigmoid colon cancer. During the balloon dilatation, panfacial swelling and apnea were noted. Emergency endotracheal intubation was undertaken. Chest X‐ray revealed diffuse subcutaneous emphysema and bilateral pneumothorax. We discuss the possible mechanism and management of this uncommon complication during therapeutic colonoscopy.