A case of acute appendicitis developing after colonoscopy

Takashi Suzuki, Tomiyasu Arisawa, Yasumasa Niwa, Eiji Hamajima, Masaya Shimodaira, Naoki Ohmiya, Yoshihisa Tsukamoto, Eiji Hamajima, Masaya Shimodaira, Naoki Ohmiya, Yoshihisa Tsukamoto, Kose Segawa, Hidemi Goto

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

A case of appendicitis complicated with colonoscopy was reported. A patient, 49-year-old male, underwent colonoscopy for the follow-up study of colonic polyp. The examination was performed without any trouble including biopsy. Four hours later, however, he began to complain of severe abdominal pain. Intestinal perforation due to mechanical damage with colonoscope was suspected and laparotomy was performed. Surgical findings showed no traumatic lesions of the colon, but a reddish, swollen and gangrenous appendix was found and removed. Post-surgical course of the patient was uneventful. There were no symptoms and signs of appendicitis before colonoscopy including colonoscopic findings around the cecal end and appendicular orifice, and the symptom began shortly after colonoscopy. These facts suggested colonoscopy causing acute appendicitis. Elevation of intraluminal pressure with infused air, pushing intestinal content into the appendix and secondary obstruction of the appendicular orifice could be the causative factors. Thus, appendicitis should be taken into consideration when acute abdomen was encountered after colonoscopy.

Original languageEnglish
Pages (from-to)1933
Number of pages1
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume34
Issue number8
DOIs
Publication statusPublished - 1992

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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