Case report, case study
VARIOUS ROUTES OF AIR SPREAD FOLLOWING IATROGENIC COLORECTAL PERFORATIONS – A SINGLE-CENTER CASE SERIES WITH LITERATURE REVIEW
DARIO GRBAVAC
; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
STELA BULIMBAŠIĆ
; Department of Pathology, University Hospital Center Zagreb, Zagreb, Croatia
IVAN ROMIĆ
; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
*
KRISTINA BIČANIĆ
; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
DORA GRGIĆ
; Department of Gastroenterology, University Hospital Center Zagreb, Zagreb, Croatia
JOSIP FIGL
; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
HRVOJE SILOVSKI
; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
* Corresponding author.
Abstract
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.
Keywords
iatrogenic perforation; retroperitoneum; pneumoperitoneum; pneumothorax; colonoscopy
Hrčak ID:
331225
URI
Publication date:
16.5.2025.
Visits: 331 *