대장내시경검사 후 발생한 의인혈액복강 = A Case of Latrogenic Hemoperitoneum after Diagnostic Colonoscopy

다국어 초록 (Multilingual Abstract)

Colonoscopy is a routinely performed diagnostic and therapeutic procedure for colorectal diseases. Abdominal pain after colonoscopy is a relatively common complication;however, hemoperitoneum is a very rare complication. We report a case of a 51-year-old male patient who suffered from a left upper quadrant pain after diagnostic colonoscopy at a healthcare promotion center. He had a routine screening test, including computed tomography (CT), and the follow-up CT showed an iatrogenic hemoperitoneum without a definite spleen injury. That is complication is rare, but potentially life-threatening. We recommend a high suspicion for this complication for its early diagnosis and proper treatment.

참고문헌 (Reference)

1 김선빈, "대장내시경 후 발생한 비장 파열 1예" 대한소화기내시경학회 41 (41): 382-384, 2010

2 Stein DF, "Splenic rupture after colonoscopy treated by splenic artery embolization" 55 : 946-948, 2002

3 Cappellani A, "Splenic rupture after colonoscopy : Report of a case and review of literature" 3 : 8-, 2008

4 Rockey DC, "Splenic injury following colonoscopy" 36 : 306-309, 1990

5 Doctor NM, "Splenic injury as a complication of colonoscopy and polypectomy. Report of a case and review of the literature" 30 : 967-968, 1987

6 Fusaroli P, "Ovarian tumor rupture causing massive hemoperitoneum: an unusual complication of colonoscopy" 67 : 1177-, 2008

7 Garbay JR, "Multicenter study of surgical complications of colonoscopy" 83 : 42-44, 1996

8 Gonza´lez-Rodriguez JF, "Hemoperitoneum due to necrosis of a small intestinal leiomyosarcoma following colonoscopy" 25 : 253-254, 1993

9 Sorrentino M, "Hemoperitoneum caused by lesions to the appendix epiploica. An unusual complication of colonoscopy" 51 : 835-837, 1996

10 Tagg W, "Hemoperitoneum after colonoscopy" 40 : E136-E137, 2008

11 Ghazi A, "Complications of colonoscopy and polypectomy" 62 : 889-895, 1982

12 Wayne JD, "Complications of colonoscopy and flexible sigmoidoscopy" 6 : 343-377, 1996

13 ASGE Standards of Practice Committee, "Complications of colonoscopy" 74 : 745-752, 2011

14 Smith LE, "Complications in colonoscopy" 18 : 214-220, 1975

15 Cooper GS, "Complications following colonoscopy with anesthesia assistance: a populationbased analysis" 173 : 551-556, 2013

16 Cooper GS, "Complications following colonoscopy with anesthesia assistance : a populationbased analysis" 551-556, 2013

17 Espinal EA, "A report of two cases and review of the literature" 11 : 71-73, 1997