Korean J Gastrointest Endosc > Volume 41(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(4): 236-239.
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
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
Share:      
METRICS
1,635
View
21
Download
Related articles
What Is Different between Postpolypectomy Fever and Postpolypectomy Coagulation Syndrome?  2014 May;47(3)
A Case of Plummer-Vinson Syndrome in an Elderly Patient  2008 September;37(3)
A Case of Idiopathic Duodenal Intramural Hematoma  2005 February;30(2)
A Case of Biliary Cast Syndrome in a Non-liver Transplant Patient  2011 June;42(6)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro(LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: ce@kams.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy. All rights reserved.                 Developed in M2PI
Close layer