Topic:	digestive diseases (dd)
Title:	Recto-Sigmoid Perforation During Retroflexion: Is There a Relationship to Rectal Prolapse?.
Author:	Svoboda, R. Paul; Olden, K.W.
Source:	Practical Gastroenterology. 31(7): 37-38, 43. July 2007.
Abstract:	Although colonic perforation is a known complication of colonoscopy, the rectum is generally considered to be an area of low risk for perforation. This article presents the case of a 70-year-old man with rectosigmoid colon perforation occurring upon retroflexion in the rectum during colonoscopy. This patient had prolapse of the rectal mucosa identified on digital rectal examination (DRE) prior to insertion of the colonoscopy. The authors present the case details, including confirmation of the perforation and the laparotomy repair of the 1 to 2 centimeter colon perforation just above the peritoneal reflexion. The patient was discharged from the hospital 2 days later with no further complications. The authors conclude that rectal prolapse may increase the risk of perforation during retroflexion. Thus, endoscopists should use caution when performing this maneuver in patients with rectal prolapse. 17 references.
Format:	Journal Article
Language:	English.
Major Keywords:	Digestive System Diseases. Colonoscopy. Complications. Diagnostic Tests. Case Reports. Patient Care Management. Colon. Perforation.
Minor Keywords:	Laparotomy. Surgical Techniques. Diagnosis. Age Factors. Prolapse. Risk Factors. Patient Selection. Sigmoidoscopy.
Publication Number:	DDJA12959.
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