Page 35 - World Journal of Laparoscopic Surgery

WJOLS

Scoliosis as a Rare Risk Factor for Colon Perforation during Colonoscopy: The Second Reported Case and Literature Review
the presence of associated colonic pathology, the stabi- tion in surgical management of colonoscopic perforations: a
lity of the patient and the overall underlying condition multicenter review. Arch Surg 2009;144:9-13.
of the patient. Primary repair of the colon is reserved 11. Lüning TH, Keemers-Gels ME, Barendregt WB, Tan AC,
for limited injury with no coexisting pathology. Surgical Rosman C. Colonoscopic perforations: a review of 30,366
patients. Surg Endosc 2007;21:994-997.
resection with primary anastomosis should be attempted 12. Heldwein W, Dollhopf M, Rosch T, Meining A, Schmidts -
if abdominal contamination or concomitant pathology is dorff G, Hasford J, Hermanek P, Burlefinger R, Birkner B,
present. 23,24,27 Schmitt W. The munich polypectomy study (MUPS): pros-
In our case, the perforation was small (1.0 cm), with no pective analysis of complications and risk factors in 4,000
colonic snare polypectomies. Endoscopy 2005;37:1116-1122.
fecal soiling of the peritoneal cavity and the perforation 13. Al-Harbi O, Al-Osaimi S, Al-Kandari I. Scoliosis as a rare
repaired laparoscopically using absorbable sutures. risk factor for colon perforation during colonoscopy: a case
report. Kuwait University, Health Sciences Center (HSC),
COnCLuSiOn Poster Conference 2010. Poster No. 272.
Patients with skeletal deformity such as scoliosis under- 14. AlHarbi O, AlOsaimi S, AlKandari I. Scoliosis as a rare risk
going colonoscopy have a higher risk of iatrogenic factor for colon perforation during colonoscopy: a case report.
KMJ. Submitted for publishing.
colonoscopic perforation. Symptoms of abdominal pain 15. Anderson ML, Pasha TM, Leighton JA. Endoscopic per-
and distension during colonoscopy in this group of foration of the colon: lessons from a 10-year study. Am J
patients should alert the treating doctor for the possibility Gastroenterol 2000;95:3418-3422.
of colon injury which should be managed accordingly. 16. Gatto NM, Frucht H, Sundararajan V, Jacobson JS, Grann
This is the second reported case, aiming to alert surgeons VR, Neugut AI. Risk of perforation after colonoscopy and
sigmoidoscopy: a population-based study. J Natl Cancer Inst
and endoscopists about such rare risk factor. 2003;95:230-236.
17. Lohsiriwat V, Sujarittanakarn S, Akaraviputh T, Lertakya-
COnSEnT manee N, Lohsiriwat D, Kachinthorn U. What are the risk
Written informed consent was obtained for publication factors of colonoscopic perforation? BMC Gastroenterol
of this case report and accompanying images. 2009;9:71.
18. Damore LJ, Rantis PC, Vernava AM, Longo WE. Colonoscopic
perforations. Etiology, diagnosis and management. Dis Colon
REFEREnCES Rectum 1996;39:1308-1314.

1. Rogers BH, Silvis SE, Nebel OT, Sugawa C, Mandelstam P. 19. Arora G, Mannalithara A, Singh G, Gerson LB, Triadafilo­
Complications of flexible fiberoptic colonoscopy and poly­ poulos G. Risk of perforation from a colonoscopy in adults:
pectomy. Gastrointest Endosc 1975;22:73-77. a large population-based study. Gastrointest Endosc 2009;69:
2. Smith LE. Fiberoptic colonoscopy: complications of colono- 654-664.
s copy and polypectomy. Dis Colon Rectum 1976;19:407-412. 20. Galandiuk S, Ahmad P. Impact of sedation and resident
3. Niv Y, Hazazi R, Levi Z, Fraser G: Screening colonoscopy for teaching on complications of colonoscopy. Dig Surg 1998;
colorectal cancer in asymptomatic people: a meta-analysis. 15(1):60-63.
Dig Dis Sci 2008. 21. Cobb WS, Heniford BT, Sigmon LB, Hasan R, Simms C,
4. Shahmir M, Schuman BM. Complications of fiberoptic Kercher KW, Matthews BD. Colonoscopic perforations: inci-
endoscopy. Gastrointest Endosc 1980;26:86-91. dence, management and outcomes. Am Surg 2004;70: 750-757.
5. Muhldorfer SM, Kekos G, Hahn EG, Ell C. Complications of 22. Christie JP, Marrazzo J III. Mini-perforation of the colon–not
therapeutic gastrointestinal endoscopy. Endoscopy 1992;24: all postpolypectomy perforations require laparotomy. Dis
276-283. Colon Rectum 1991;34:132-135.
6. Wullstien CH, Köppen MO, Gross E. Laparoscopic treatment 23. Jentschura D, Raute M, Winter J, Henkel T, Kraus M,
of colonic perforations related to colonoscopy. Surg Endosc Manegold BC. Complications in endoscopy of the lower
1999;13:484-487. gastrointestinal tract. Therapy and prognosis. Surg Endosc
7. Lohsiriwat V, Sujarittanakarn S, Akaraviputh T, Lertakyama- 1994;8:672-676.
nee N, Lohsiriwat D, Kachinthorn U. What are the risk factors 24. Lo AY, Beaton HL. Selective management of colonoscopic
of colonoscopic perforation? BMC Gastroenterol 2009;9:71. perforations. J Am Coll Surg 1994;179:333-337.
8. Repici A, Pellicano R, Strangio G, Danese S, Fagoonee S, 25. Dafnis G, Ekbom A, Pahlman L, Blomqvist P. Complications
Malesci A. Endoscopic mucosal resection for early colorectal of diagnostic and therapeutic colonoscopy within a defined
neoplasia: pathologic basis, procedures and outcomes. Dis population in Sweden. Gastrointest Endosc 2001 Sep;54(3):
Colon Rectum 2009;52:1502-1515. 302-309.
9. Iqbal CW, Cullinane DC, Schiller HJ, Sawyer MD, Zietlow 26. Hansen AJ, Tessier DJ, Anderson ML, Schlinkert RT. Laparo-
SP, Farley DR. Surgical management and outcomes of 165 scopic repair of colonoscopic perforations: indications and
colonoscopic perforations from a single institution. Arch guidelines. J Gastrointest Surg 2007;11:655-659.
Surg 2008;143:701-706. 27. Farley DR, Bannon MP, Zietlow SP, Pemberton JH, Ilstrup
10. Teoh AY, Poon CM, Lee JF, Leong HT, Ng SS, Sung JJ, Lau DM, Larson DR. Management of colonoscopic perforations.
JY. Outcomes and predictors of mortality and stoma forma- Mayo Clin Proc 1997;72:729-733.

World Journal of Laparoscopic Surgery, September-December 2014;7(3):133-135 135