结肠镜检查后的气腹、气胸、腹膜气:1例报告及文献回顾

Melissa Kyriakos Saad, Toufic Saber, G. Cortas, E. Saikaly
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引用次数: 0

摘要

结肠镜检查后结肠穿孔少见;然而,当血流动力学稳定的患者伴有大量气腹时,就会给外科医生带来真正的困境。在观察等待和手术干预之间的决定是真正的挑战,虽然大多数外科医生会敦促手术干预,但另一方面,保守管理可以安全地应用于选定的血流动力学稳定的患者。
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Pneumoperitoneum, Pneumothorax, and Pneumoretroperitoneum Post Colonoscopy: A Case report and Review of Literature
Colonic perforation post colonoscopy is rarely seen; however, when coupled with massive pneumoperitoneum in haemodynamically stable patients, a real dilemma for surgeons is created. The decision between watchful waiting versus surgical intervention is the real challenge and while most surgeons will urge for surgical intervention, conservative management on the other hand can be safely applied in selected haemodynamically stable patients.
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