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증례 : 소화기 ; 대장내시경 후 발생한 피하기종, 기종격동 및 기복증
허정권 ( Jung Kwon Huh ),노희선 ( Hee Sun No ),임희완 ( Hee Hwan Lim ),김정훈 ( Jung Hoon Kim ),김유철 ( You Cheoul Kim ),김철현 ( Cheol Hyeon Kim ),이재철 ( Jae Cheol Lee ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
Colonoscopy is an essential tool to investigate and to manage intraluminal lesions of the colon and has been considered safe although a perforation as a complication of this procedure is often associated with serious morbidity. A 56-year-old woman had a colonoscopic biopsy for a suspicion of colon cancer. After the procedure, the patient complained of neck swelling and abdominal distension and pain. A chest X-ray and abdominal computed tomography scan showed subcutaneous emphysema, pneumomedistinum and pneumoperitoneum. If the colon perforates into the retroperitoneum, air can travel to the mediastinum and subcutaneous tissue as the fascial planes of the cervical soft tissues are in continuity with those of the mediastinum and through the diaphragmatic hiatus with the retorperitoneal soft tissue space. We report here a rare case of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum that developed after a colonoscopic biopsy. (Korean J Med 77:S1153-S1156, 2009)