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postpolypectomy syndrome without abdominal pain led to sepsis/septic shock and gastrointestinal bleeding:A case report

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World Journal of Gastrointestinal Surgery 2023年第10期15卷 2343-2350页

作者： Fang-Zhi Chen Lin Ouyang Xiao-Li Zhong Jin-Xiu Li Yan-Yan Zhou Department of Gastroenterology The Second Affiliated HospitalHengyang Medical SchoolUniversity of South ChinaHengyang 421001Hunan ProvinceChina Department of Critical Care Medicine The Second Xiangya HospitalCentral South UniversityChangsha 410011Hunan ProvinceChina

BACKGROUND postpolypectomy syndrome(PPS)is a rare postoperative complication of colonic *** presents with abdominal pain and fever accompanied by coagulopathy and elevated inflammatory *** prognosis is usually good,and it only requires outpatient treatment or observation in a general ***-ever,it can be *** SUMMARY The patient was a 58-year-old man who underwent two colonic polypectomies,each resulting in life-threatening sepsis,septic shock,and *** of the notable manifestations was a rapid drop in blood pressure,an increase in heart rate,loss of consciousness,and heavy sweating,accompanied by shortness of breath and decreased oxygen in the finger *** on the criteria of organ dysfunction due to infection,we diagnosed him with *** patient also experienced severe gastrointestinal bleeding after the second ***,he did not complain of any abdominal pain throughout the course of the *** had significantly elevated concentrations of inflammatory markers and *** for the absence of abdominal pain,his fever,significant coagulopathy,and elevated inflammatory marker concentrations were all consistent with *** computed tomography and superior mesenteric artery computed tomography angiography showed no free air or vascular ***,the diagnosis of colon perforation was not *** final blood culture results indicated Moraxella *** patient was transferred to the intensive care unit and quickly improved after fluid resuscitation,antibiotic treatment,oxygen therapy,and blood *** PPS may induce dysregulation of the systemic inflammatory response,which can lead to sepsis or septic shock,even in the absence of abdominal pain.

关键词： postpolypectomy syndrome Abdominal pain Sepsis Gastrointestinal bleeding Case report

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Colonoscopic perforation:Incidence,risk factors,management and outcome

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World Journal of Gastroenterology 2010年第4期16卷 425-430页

作者： Varut Lohsiriwat Department of Surgery Faculty of MedicineSiriraj HospitalMahidol UniversityBangkok 10700Thailand

This review discusses the incidence,risk factors,management and outcome of colonoscopic perforation(CP).The incidence of CP ranges from 0.016% to 0.2% following diagnostic colonoscopies and could be up to 5% following some colonoscopic *** perforations are frequently related to therapeutic colonoscopies and are associated with patients of advanced age or with multiple *** of CP is mainly based on patients' clinical grounds and their underlying colorectal *** therapeutic approaches include conservative management(bowel rest plus the administration of broadspectrum antibiotics),endoscopic management,and operative management(open or laparoscopic approach).The applications of each treatment are *** outcomes of patients with CP are also addressed.

关键词： Colonoscopic perforation Colonoscopy Sigmoidoscopy Complication postpolypectomy syndrome Incidence Risk factors Treatment Management Outcome

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