Studija slučaja
VARIOUS ROUTES OF AIR SPREAD FOLLOWING IATROGENIC COLORECTAL PERFORATIONS – A SINGLE-CENTER CASE SERIES WITH LITERATURE REVIEW
DARIO GRBAVAC
; Klinika za kirurgiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
STELA BULIMBAŠIĆ
; Klinika za patologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
IVAN ROMIĆ
; Klinika za kirurgiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
*
KRISTINA BIČANIĆ
; Klinika za kirurgiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
DORA GRGIĆ
; Klinika za gastroenterologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
JOSIP FIGL
; Klinika za kirurgiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
HRVOJE SILOVSKI
; Klinika za kirurgiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
* Dopisni autor.
Sažetak
Over the last decade endoscopic colorectal interventions have been increasingly used to treat polyps and laterally-spreading
tumors. Perforations are the most feared complications of both diagnostic and therapeutic endoscopy, and timely recognition
and adequate treatment are of paramount importance for successful outcomes. A rare manifestation of iatrogenic retroperitoneal
perforation is air propagation through the retroperitoneal space into the mediastinum, pleura, or subcutaneous tissue. In such cases, precise diagnosis and treatment may be challenging. The purpose of this study is to demonstrate a case series of nine patients who underwent colonoscopy and developed radiological signs of retroperitoneal air spreading to distant body compartments. In addition, the pathophysiology, diagnostics and treatment of such clinical scenarios are discussed.
Ključne riječi
iatrogenic perforation; retroperitoneum; pneumoperitoneum; pneumothorax; colonoscopy
Hrčak ID:
331225
URI
Datum izdavanja:
16.5.2025.
Posjeta: 294 *