J Korean Soc Emerg Med.
2007 Oct;18(5):438-442.
A case of the Colon Perforated Patient Visited Emergency Department for Pneumomediastinum
- Affiliations
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- 1Department of Internal Medicine, Eulji University School of Medicine, Korea. 20040544@eulji.ac.kr
- 2Department of Emergency Medicine, Eulji University School of Medicine, Korea.
Abstract
- Bleeding and perforation are serious and commonly observed complications of colonofibroscopy. Pneumoretroperitoneum and pneumomediastinum are also infrequently reported as complications of colonofibroscopy. Clinical symptoms of pneumomediastinum are variable, with chest pain being the most common symptom, and a definitive diagnosis can be made by chest X-ray. Most cases can be successfully managed with only conservative treatment. Infrequently surgical managements are required. We report an unusual case of pneumoretroperitoneum and pneumomediastinum as a complication of colonofibroscopy. Pneumomediastinum was treated successfully and simply with only antibiotics and fasting.
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