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Giacomo Emanuele Maria Rizzo,Giuseppina Ferro,Giovanna Rizzo,Giovanni Di Carlo,Alessandro Cantone,Gaetano Giuseppe Di Vita,Carmelo Sciumè 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.2
Iatrogenic perforations are severe complications of gastrointestinal endoscopy; therefore, their management should be adequatelyplanned. A 77-year-old man with a history of diverticulosis underwent a colonoscopy for anemia. During the procedure, aniatrogenic perforation occurred suddenly in the sigmoid colon, near a severe angle among the numerous diverticula. Through-thescopeclips were immediately applied to treat it and close mucosal edges. Laboratory tests showed increased levels of inflammationand infection, and although there were no complaints of abdominal pain, the patient had an extremely distended abdomen. Amultidisciplinary board began management based on a conservative approach. Pneumoperitoneum was treated with computedtomography-assisted drainage. After 72 hours, his intestinal canalization and laboratory tests were normal. Though this adverseevent is rare, a multidisciplinary board should be promptly gathered upon occurrence, even if the patient appears clinically stable, toconsider a conservative approach and avoid surgical treatment.