Colo-colonic intussusception as a rare complication of colonoscopy with polypectomy: Two case reports
作者机构：Department of GastroenterologyThe First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003Zhejiang ProvinceChina
出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)
年 卷 期：2024年第16卷第6期
页 面：1939-1947页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Intussusception Colonoscopy Polypectomy Complication Case report
摘 要：BACKGROUND Colonoscopy is the most frequently used diagnostic and therapeutic tool for the treatment of colorectal *** the complication rate is low,it can be potentially *** is a rare and severe complication often associated with *** a handful of post-colonoscopy intussusception cases have been reported,making this study a valuable addition to the medical *** SUMMARY Case 1:A 61-year-old man underwent colonoscopy with polypectomy for chronic abdominal *** patient experienced abdominal pain 11 hours later but was still discharged after pain *** was readmitted due to recurring *** tomography(CT)showed colo-colonic *** conservative management and attempts at endoscopic reduction failed;therefore,laparoscopic right hemicolectomy was *** examination revealed tubular adenomas in the polyps and inflammation in the resected *** 2:A 59-year-old woman underwent colonoscopy with polypectomy for a polyp in the transverse *** experienced upper abdominal pain,fever,nausea,and vomiting 9 hours after the *** CT and blood tests revealed a colo-colonic intussusception near the hepatic flexure and an elevated white blood cell *** attempts at endoscopic reduction failed and conservative treatment showed no *** underwent successful laparoscopic reduction and recovered *** examination of the resected polyp revealed *** Post-colonoscopy intussusception in adults is rare,and polypectomy may contribute to its *** diagnosis is crucial,with prompt CT examination serving as *** excluding malignancies,conservative management and reduction of intussusception should be considered before surgical bowel resection.
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