Mechanical small bowel obstruction precipitated by colonoscopy
- 84 Downloads
Mechanical small bowel obstruction (SBO) is rare complication of colonoscopy. We present a patient who developed SBO 24 h after surveillance colonoscopy. Four years prior to this procedure, he had undergone augmentation cecocystoplasty with continent ileal conduit. He subsequently underwent laparotomy and lysis of a band adhesion that caused extrinsic compression of the ileum proximal to ileotransverse colostomy. We further review the literature, describe the salient features of colononoscopy-induced bowel obstruction, and identify the risk factors for this unusual complication.
KeywordsBowel obstruction Complications Colonoscopy Ileocecal valve
- 3.Britton, DC, Tregoning, D, Bone, G, McKelvey, STD 1977Colonoscopy in surgical practice.Brit Med J15149151Google Scholar
- 6.Keeffe, EB 1985Ileal volvulus following colonoscopy [Letter].Gastrointest Endosc31228229Google Scholar
- 13.Ramakrishnan, T 1979Adynamic ileus complicating colonoscopy.Southern Med J729293Google Scholar
- 16.Wallner, M, Allinger, S, Wiesinger, H, Prischl, FC, Kramar, R, Knoflauch, P 1994Small-bowel ileus after diagnostic colonoscopy.Endoscopy26329Google Scholar