| 장 천공 의심하에 대장절제술 시행한 용종절제술 후 응고증후군 1예 |
| 송송이ㆍ성영경ㆍ김혜정ㆍ배소영ㆍ박실비아ㆍ조용범*ㆍ김진용ㆍ정승민 |
| 성균관대학교 의과대학 서울삼성병원 내과학교실, *외과학교실 |
| A Case of Postpolypectomy Coagulation Syndrome Had a Hemicolectomy |
| Song Yi Song, M.D., Young Kyung Sung, M.D., Hye Jeong Kim, M.D., Soyoung Bae, M.D., Silvia Park, M.D., Yong Beom Cho, M.D.*, Jin Yong Kim, M.D. and Seung Min Chung, M.D. |
| Departments of Internal Medicine, *Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
|
|
|
|
| Abstract |
|
|
Colonoscopy is commonly used as a screening tool for colorectal polyps and cancer. It also offers a chance to remove polyps via the polypectomy technique. Colonoscopic polypectomy is a relatively safe procedure, yet there is the possibility of serious complications such as perforation and bleeding. Postpolypectomy coagulation syndrome presents with pain, fever, an elevated white blood cell count and signs of peritoneal irritation, and usually within 12 hours of the procedure. No free air is seen on plain films or a CT scan, which is different from frank bowel perforation. The management of postpolypectomy coagulation syndrome includes fasting, antibiotics and intravenous hydration. We report here on a case of a 53-year-old woman who underwent right hemicolectomy because she presented with fever, signs of peritoneal irritation and shock after colonoscopic polypectomy. The final diagnosis was postpolypectomy coagulation syndrome as there was no perforation in the resected specimen. (Korean J Gastrointest Endosc 2010;41:236-239) |
| Key Words:
Colonic polyp, Colonoscopy, Polypectomy, Postpolypectomy complication |
| 주요어:
대장내시경, 대장 용종, 용종절제술, 합병증 |
|
|
PDF Links
Full text via DOI 
Download Citation 
