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증예(症例) : 용종제거술 후 발생한 대장 천공과 복강 내 출혈의 내과적 치료 1예
최진화 ( Jin Hwa Choi ),이신은 ( Shin Eun Lee ),최혜은 ( Hye Eun Choi ),이영재 ( Young Jae Lee ),선인오,이은영 ( Eun Young Lee ),김양호 ( Yang Ho Kim ),조진웅 ( Jin Woong Cho ),고은영 ( Eun Young Ko ),이용웅 ( Yong Ung Lee ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.2
Colonoscopy is a widely used technique for diagnosis and therapeutic intervention. The procedure is usually well- tolerated. However, perforation and hemorrhage of the colon are the most commonly encountered complications, which usually occur at the site of a polypectomy. The reported rates of perforation and hemorrhage vary from 0.15 to 2.14 and 1.8~25%,respectively. Prompt surgical intervention is preferred treatment to minimize the morbidity and mortality. However, surgical intervention is invasive and requires a long-term recovery period. Conservative treatment is less invasive but can lead to the need for more extensive surgery in the case of treatment failure. We present a case of near fatal complications after colonoscopy, which initially suggested a colonic perforation and hemoperitoneum. However, this case was treated successfully with endoscopic clip therapy and Culdocentesis.