Skip to main content
Log in

Subcutaneous emphysema and pneumothorax complicating diagnostic colonoscopy

  • Published:
Diseases of the Colon & Rectum

Abstract

A case of subcutaneous emphysema and pneumothorax secondary to a diagnostic colonoscopy is presented. While 11 cases of retroperitoneal emphysema due to colonoscopy were identified in the literature, there are only two further reports of pneumothorax. Possible etiologic and therapeutic aspects are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Frühmorgen P, Demling L. Complications of diagnostic and therapeutic colonoscopy in the Federal Republic of Germany: results of an inquiry. Endoscopy 1979;2:146–50.

    Google Scholar 

  2. Hunt RH. Towards safer colonoscopy. Gut 1983;24:371–5.

    PubMed  CAS  Google Scholar 

  3. Macrae FA, Tan KG, Williams CB. Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut 1983;24:376–83.

    PubMed  CAS  Google Scholar 

  4. Schwesinger WH, Levine BA, Ramos R. Complications in colonoscopy. Surg Gynecol Obstet 1979;270–81.

  5. Humphreys F, Hewetson KA, Dellipiani AW. Massive subcutaneous emphysema following colonoscopy. Endoscopy 1984; 16:160–1.

    PubMed  CAS  Google Scholar 

  6. Kozarek RA, Earnest DL, Silverstein ME, Smith RG. Air-pressure-induced colon injury during diagnostic colonoscopy. Gastroenterology 1980;78:7–14.

    PubMed  CAS  Google Scholar 

  7. Williams CB, Lane RH, Sakai Y. Colonoscopy: an air-pressure hazard. Lancet 1973;2:729.

    Article  PubMed  CAS  Google Scholar 

  8. Burt CA. Pneumatic rupture of the intestinal canal: with experimental data showing the mechanism of perforation and the pressure required. Arch Surg 1931;22:875–902.

    Google Scholar 

  9. Penfold JC. Perforation of the colon complicating colonoscopy: report of a case. Dis Colon Rectum 1975;18:626–7.

    PubMed  CAS  Google Scholar 

  10. Brayko CM, Kozarek RA, Sanowski RA, Howells T. Diverticular rupture during colonoscopy fact or fancy? Dig Dis Sci 1984; 29:427–31.

    Article  PubMed  CAS  Google Scholar 

  11. Thomas JH, Pierce GE, MacArthur RI. Bilateral pneumothoraces secondary to colonic endoscopy. J Natl Med Assoc 1979; 71:701–2.

    PubMed  CAS  Google Scholar 

  12. Meyers MA, Ghahremani GG. Complications of fiberoptic endoscopy. Radiology 1975;115:301–7.

    PubMed  CAS  Google Scholar 

  13. Heer M, Altorfer J, Pirovino M, Schmid M. Pneumatosis cystoides coli: a rare complication of colonoscopy. Endoscopy 1983; 15:119–20.

    PubMed  CAS  Google Scholar 

  14. Wertkin MG, Wetchler BB, Waye JD, Brown LK. Pneumatosis coli associated with sigmoid volvulus and colonoscopy. Am J Gastroenterol 1976;65:209–14.

    PubMed  CAS  Google Scholar 

  15. Sugarbaker PH, Vineyard GC. Fiberoptic colonoscopy: a new look at old problems. Am J Surg 1973;125:429–31.

    Article  PubMed  CAS  Google Scholar 

  16. Razzak IA, Millan J, Schuster MM. Pneumatic ileal perforation: an unusual complication of colonoscopy. Gastroenterology 1976; 70:268–71.

    PubMed  CAS  Google Scholar 

  17. Livstone EM, Cohen GM, Troncale FJ, Touloukian RJ. Diastatic serosal lacerations: an unrecognized complication of colonoscopy. Gastroenterology 1974;67:1245–7.

    PubMed  CAS  Google Scholar 

  18. Amshel AL, Shonberg IL, Gopal KA. Retroperitoneal and mediastinal emphysema as a complication of colonoscopy. Dis Colon Rectum 1982;25:167–8.

    Article  PubMed  CAS  Google Scholar 

  19. Gordon MJ. Retroperitoneal emphysema from colonoscopy of the distal limb of a Hartmann colostomy. Gastrointest Endosc 1975;22:101–2.

    Article  PubMed  CAS  Google Scholar 

  20. Lezak MB, Goldhamer M. Retroperitoneal emphysema after colonoscopy. Gastroenterology 1974;66:118–20.

    PubMed  CAS  Google Scholar 

  21. Yassinger S, Midgley RC, Cantor DS, Poirier T, Imperato TS. Retroperitoneal emphysema after colonoscopic polypectomy. West J Med 1978;128:347–50.

    PubMed  CAS  Google Scholar 

  22. Overholt BF, Hargrove RL, Farris RK, Wilson BM. Colonoscopic polypectomy: silent perforation. Gastroenterology 1976; 70:112–3.

    PubMed  CAS  Google Scholar 

  23. Ecker MD, Goldstein M, Hoexter B, Hyman RA, Naidich JB, Stein HL. Benign pneumoperitoneum after fiberoptic colonoscopy: a prospective study of 100 patients. Gastroenterology 1977; 73:226–30.

    PubMed  CAS  Google Scholar 

  24. Loggan M, Moeller DD. Delayed perforation of the cecum after diagnostic biopsy. Am J Gastroenterol 1984;79:933–4.

    PubMed  CAS  Google Scholar 

  25. Pokorney BH, Petrokubi RJ. Cecal perforation presenting as acute respiratory arrest. Gastrointest Endosc 1981;27:200–1.

    PubMed  CAS  Google Scholar 

  26. Reeve T, Kukora JS. Pneumatic perforation of the colon during colonoscopy: is the hypermobile right colon a risk factor? Dis Colon Rectum 1984;27:751–3.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Schmidt, G., Börsch, G. & Wegener, M. Subcutaneous emphysema and pneumothorax complicating diagnostic colonoscopy. Dis Colon Rectum 29, 136–138 (1986). https://doi.org/10.1007/BF02555400

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02555400

Key words

Navigation