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Virtual colonoscopy-induced perforation in a patient with Crohn's disease 被引量:3

Virtual colonoscopy-induced perforation in a patient with Crohn's disease
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摘要 We report a case of sigmoid colon perforation in a patient with Crohn's disease undergoing computed-tomographic (CT) colonography. A 70-year-old patient with Crohn's disease with terminal ileitis and sigmoid stricture underwent CT colonography after incomplete conventional colonoscopy. During the procedure, the colon was inflated by air insufflation and the patient developed abdominal pain with radiological evidence of retroperitoneal and intraperitoneal free gas. Hartmann's operation was performed. This case highlights that CT colonography is not risk-free. The risk of perforation may be higher in patients with inflammatory bowel disease. We report a case of sigmoid colon perforation in a patient with Crohn's disease undergoing computedtomographic (CT) colonography. A 70-year-old patient with Crohn's disease with terminal ileitis and sigmoid stricture underwent CT colonography after incomplete conventional colonoscopy. During the procedure, the colon was inflated by air insufflation and the patient developed abdominal pain with radiological evidence of retroperitoneal and intraperitoneal free gas. Hartmann's operation was performed. This case highlights that CT colonography is not risk-free. The risk of perforation may be higher in patients with inflammatory bowel disease.
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第6期978-979,共2页 世界胃肠病学杂志(英文版)
关键词 炎症性肠疾病 克罗恩氏病 患者 结肠镜 诱发穿孔 Perforation Colonography Crohn's disease Stricture Hartmann's Inflammatory bowel disease
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参考文献5

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同被引文献26

  • 1Yau-Tong You,Chung-Rong Chang Chien,Jeng-Yi Wang,Koon-Kwan Ng,Jinn-Shiun Chen,Reiping Tang,Jy-Ming Chiang,Chien-Yuh Yeh,Pao-Shiu Hsieh.Evaluation of contrast-enhanced computed tomographic colonography in detection of local recurrent colorectal cancer[J].World Journal of Gastroenterology,2006,12(1):123-126. 被引量:7
  • 2Waleed Ajaj,Mathias Goyen,Hubert Schneemann,Christiane Kuehle,Michael Nuefer,Stefan G. Ruehm,Susanne C. Goehde,Thomas C. Lauenstein.Oral contrast agents for small bowel distension in MRI: influence of the osmolarity for small bowel distention[J].European Radiology.2005(7)
  • 3Bart M. Wiarda,Ernst J. Kuipers,Lex P. J. Houdijk,Hans A. R. E. Tuynman.MR Enteroclysis: Imaging Technique of Choice in Diagnosis of Small Bowel Diseases[J].Digestive Diseases and Sciences.2005(6)
  • 4Waleed Ajaj,Susanne C. Goehde,Hubert Schneemann,Stefan G. Ruehm,J?rg F. Debatin,Thomas C. Lauenstein.Oral contrast agents for small bowel MRI: comparison of different additives to optimize bowel distension[J].European Radiology.2004(3)
  • 5Sabine Schmidt,Domenico Lepori,Jean-Yves Meuwly,Bertrand Duvoisin,Reto Meuli,Pierre Michetti,Christian Felley,Pierre Schnyder,Guy van Melle,Alban Denys.Prospective comparison of MR enteroclysis with multidetector spiral-CT enteroclysis: interobserver agreement and sensitivity by means of "sign-by-sign" correlation[J].European Radiology.2003(6)
  • 6N. Holzknecht,T. Helmberger,K. Herrmann,T. Ochsenkühn,B. G?ke,M. Reiser.MRT-Diagnostik des Morbus Crohn nach transduodenaler Füllung mit negativem oralem MR-Kontrastmittel[J].Der Radiologe.2003(1)
  • 7Nicholas Gourtsoyiannis,Nickolas Papanikolaou,John Grammatikakis,Panos Prassopoulos.MR enteroclysis: technical considerations and clinical applications[J].European Radiology.2002(11)
  • 8A. Rieber,K. Nüssle,M. Reinshagen,H.-J. Brambs,A. Gabelmann.MRI of the abdomen with positive oral contrast agents for the diagnosis of inflammatory small bowel disease[J].Abdominal Imaging.2002(4)
  • 9A. Rieber,A. Aschoff,K. Nüssle,D. Wruk,R. Tomczak,M. Reinshagen,G. Adler,H. -J. Brambs.MRI in the diagnosis of small bowel disease: use of positive and negative oral contrast media in combination with enteroclysis[J].European Radiology.2000(9)
  • 10A. Rieber,D. Wruk,S. Potthast,K. Nüssle,M. Reinshagen,G. Adler,H.-J. Brambs.Diagnostic imaging in Crohn’s disease: comparison of magnetic resonance imaging and conventional imaging methods[J].International Journal of Colorectal Disease.2000(3)

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