Laparoscopic management of iatrogenic colonoscopic perforation

Chean Leung CHONG                

Department of Surgery, RIPAS Hospital, Brunei Darussalam

 ABSTRACT

A 40-year-old Malay lady was admitted with iatrogenic perforation following colonoscopic polypectomy. Diagnostic laparoscopy was performed but no obvious perforations were found after a thorough inspection. The abdomen was lavaged. The patient recovered with bowel rest and a drain and no further surgical interventions were necessary. A review of the literature shows that the treatment of iatrogenic colonoscopy perforations is controversial with the most common method being laparotomy and repair or resection of the affected colon. However, there are also reports of conservative management and this depends on the condition of the patient.

Keywords: Colonoscopy, polypectomy, complications, laparoscopy

Correspondence author: Chean Leung CHONG Department of Surgery, RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam.

Tel: +673 2242424 Ext 6280

Fax: +673 2242690

E mail: ccleung8@hotmail.com

Brunei Int Med J. 2013; 9 (3): 195-198