Published in:
01-07-2004 | Case Report
Actual Colonic Perforation in Virtual Colonoscopy: Report of a Case
Authors:
Moshe Kamar, M.D., Orith Portnoy, M.D., Avner Bar-Dayan, M.D., Michal Amitai, M.D., Yaron Munz, M.D., Amram Ayalon, M.D., Oded Zmora, M.D.
Published in:
Diseases of the Colon & Rectum
|
Issue 7/2004
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Abstract
Computed tomography colonography, also termed virtual colonoscopy, is a new imaging method to investigate the colon, which may be a potential alternative to the conventional endoscopic colonoscopy in some cases. The high safety profile of this imaging method was considered as an additional advantage of this procedure. A case of colonic perforation in computed tomography colonography is presented, highlighting a potential risk related to this procedure. It is assumed that perforation was the result of overinflation of air into an obstructed colon caused by a lesion at the rectosigmoid junction. Thus, it is suggested that in such cases, air insufflation should be gradual, thereby minimizing the risk of perforation.