Subcutaneous emphysema, pneumothorax, pneumomediastinum, and pneumoperitoneum during colonoscopic balloon dilation: a case report |
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| Authors: | Chan Yi-Chen Tsai Yu-Chuan Fang Shih-Yuan |
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| Affiliation: | Department of Anesthesiology, National Cheng Kung University, Medical College and Hospital, Tainan, Taiwan. |
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| Abstract: | A 77-year-old woman underwent colonoscopic balloon dilatation for colonic stricture 1 year after laparoscopic anterior resection of sigmoid colon cancer. During the balloon dilatation, panfacial swelling and apnea were noted. Emergency endotracheal intubation was undertaken. Chest X-ray revealed diffuse subcutaneous emphysema and bilateral pneumothorax. We discuss the possible mechanism and management of this uncommon complication during therapeutic colonoscopy. |
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