Intest Res.  2013 Jul;11(3):208-212. 10.5217/ir.2013.11.3.208.

A Case of Pneumorrhachis and Pneumoscrotum Following Colon Endoscopic Submucosal Dissection

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. jeja-1004@hanmail.net

Abstract

Endoscopic submucosal dissection has been a useful treatment of selected colorectal neoplasia cases. The incidence of perforation related to colorectal endoscopic submucosal dissection is 5-20%. However, while there have been numerous reports regarding retroperitoneal, mediastinal, pleural and subcutaneous emphysema after therapeutic colonoscopy, pneumoscrotum is a relatively rare manifestation of perforation associated with colorectal endoscopic submucosal dissection. In particular, pneumorrhachis, or air within the spinal cord, following therapeutic colonoscopy, is extremely rare. Herein, we report a conservatively treated perforation case as having pneumorrhachis, penumoscrotum, and pneumoperitoneum after colorectal endoscopic submucosal dissection.

Keyword

Pneumorrhachis; Pneumoscrotum; Colon perforation; Endoscopic submucosal dissection

MeSH Terms

Colon
Colonoscopy
Incidence
Pneumoperitoneum
Pneumorrhachis
Spinal Cord
Subcutaneous Emphysema
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