A case of acute appendicitis developing after colonoscopy

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

Research output: Contribution to journalArticle

6 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
Number of pages1
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume34
Issue number8
DOIs
Publication statusPublished - 01-01-1992

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Appendicitis
Colonoscopy
Appendix
Colonoscopes
Colonic Polyps
Intestinal Perforation
Gastrointestinal Contents
Acute Abdomen
Laparotomy
Abdominal Pain
Signs and Symptoms
Colon
Air
Biopsy
Pressure

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Suzuki, T., Arisawa, T., Niwa, Y., Hamajima, E., Shimodaira, M., Omiya, N., ... Goto, H. (1992). A case of acute appendicitis developing after colonoscopy. GASTROENTEROLOGICAL ENDOSCOPY, 34(8). https://doi.org/10.11280/gee1973b.34.1933
Suzuki, Takashi ; Arisawa, Tomiyasu ; Niwa, Yasumasa ; Hamajima, Eiji ; Shimodaira, Masaya ; Omiya, Naoki ; Tsukamoto, Yoshihisa ; Hamajima, Eiji ; Shimodaira, Masaya ; Ohmiya, Naoki ; Tsukamoto, Yoshihisa ; Segawa, Kose ; Goto, Hidemi. / A case of acute appendicitis developing after colonoscopy. In: GASTROENTEROLOGICAL ENDOSCOPY. 1992 ; Vol. 34, No. 8.
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Suzuki, T, Arisawa, T, Niwa, Y, Hamajima, E, Shimodaira, M, Omiya, N, Tsukamoto, Y, Hamajima, E, Shimodaira, M, Ohmiya, N, Tsukamoto, Y, Segawa, K & Goto, H 1992, 'A case of acute appendicitis developing after colonoscopy', GASTROENTEROLOGICAL ENDOSCOPY, vol. 34, no. 8. https://doi.org/10.11280/gee1973b.34.1933

A case of acute appendicitis developing after colonoscopy. / Suzuki, Takashi; Arisawa, Tomiyasu; Niwa, Yasumasa; Hamajima, Eiji; Shimodaira, Masaya; Omiya, Naoki; Tsukamoto, Yoshihisa; Hamajima, Eiji; Shimodaira, Masaya; Ohmiya, Naoki; Tsukamoto, Yoshihisa; Segawa, Kose; Goto, Hidemi.

In: GASTROENTEROLOGICAL ENDOSCOPY, Vol. 34, No. 8, 01.01.1992.

Research output: Contribution to journalArticle

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AU - Niwa, Yasumasa

AU - Hamajima, Eiji

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AU - Omiya, Naoki

AU - Tsukamoto, Yoshihisa

AU - Hamajima, Eiji

AU - Shimodaira, Masaya

AU - Ohmiya, Naoki

AU - Tsukamoto, Yoshihisa

AU - Segawa, Kose

AU - Goto, Hidemi

PY - 1992/1/1

Y1 - 1992/1/1

N2 - 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.

AB - 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.

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