Year 2024 / Volume 116 / Number 12
Letter
Cat scratch colon and cecal barotrauma perforation during colonoscopy with CO2 insufflation

721-722

DOI: 10.17235/reed.2024.10777/2024

Sónia Barros, Luís Miguel Relvas, Isabel Malta Carvalho, Ana Margarida Vaz, Rita Ornelas, Bruno Peixe,

Abstract
Background: Cecal perforation from barotrauma is a rare complication of colonoscopy, even with the use of CO₂ insufflation, which is generally preferred over room air due to its rapid absorption and reduced patient discomfort. Case report: A 64-year-old woman with hypertension and dyslipidemia underwent a routine colonoscopy with CO₂ insufflation. Multiple diverticula were noted, and upon reaching the cecum, several parallel linear lesions with spontaneous bleeding, consistent with "cat scratch" colon, were observed. Hemostasis was achieved with 10 endoscopic clips. A subsequent CT scan revealed pneumoperitoneum and the clips in the cecum. The patient was managed conservatively with bowel rest and intravenous antibiotics, showing a favorable clinical course and was discharged on the fifth day. Discussion: This case highlights the potential for cecal perforation due to barotrauma even with CO₂ insufflation during colonoscopy, emphasizing the need for awareness and prompt management of such complications.
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Barros S, Relvas L, Carvalho I, Vaz A, Ornelas R, Peixe B, et all. Cat scratch colon and cecal barotrauma perforation during colonoscopy with CO2 insufflation. 10777/2024


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Publication history

Received: 07/09/2024

Accepted: 16/09/2024

Online First: 04/10/2024

Published: 13/12/2024

Article Online First time: 27 days

Article editing time: 97 days


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