Pneumoperitoneum, pneumoretroperitoneum, pneumothorax, and subcutaneous emphysema findings in a case of perforation after colonoscopy

Özet

Colonoscopy is a widely used method for diagnosis and treatment. Endoscopic examination of the colonand rectum is performed for various purposes, including screening for and monitoring of colorectal cancer. Perforation after colonoscopy is rare; the occurrence is reported to be approximately 0.15–0.19%. A54–year–old male patient presented at the emergency department with abdominal pain 8 hours after acolonoscopy, which had been completed without any known problem. Examination revealed pneumothorax,pneumoretroperitoneum, intraperitoneal air, and subcutaneous emphysema. The patient was hospitalizedfor observation and treatment, without any signs of peritoneal irritation or leukocytosis. The patient wassubsequently discharged without complications. The aim of this study was to analyze the clinical presentation, diagnosis, and treatment of a patient who developed retroperitoneal air, pneumoperitoneum, pneumothorax, and subcutaneous emphysema following a colonoscopy procedure.