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Intest Res > Volume 11(3); 2013 > Article
Intestinal Research 2013;11(3):208-212.
DOI: https://doi.org/10.5217/ir.2013.11.3.208    Published online July 30, 2013.
A Case of Pneumorrhachis and Pneumoscrotum Following Colon Endoscopic Submucosal Dissection
Mi Young Jang, Jin Woong Cho, Wang Guk Oh, Sung Jun Ko, Shang Hoon Han, Hoon Ki Baek, Young Jae Lee, Ji Woong Kim, Yong Keun Cho, Gum Mo Jung
Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
Abstract
Endoscopic submucosal dissection has been a useful treatment of selected colorectal neoplasia cases. The incidence of perforation related to colorectal endoscopic submucosal dissection is 5-20%. However, while there have been numerous reports regarding retroperitoneal, mediastinal, pleural and subcutaneous emphysema after therapeutic colonoscopy, pneumoscrotum is a relatively rare manifestation of perforation associated with colorectal endoscopic submucosal dissection. In particular, pneumorrhachis, or air within the spinal cord, following therapeutic colonoscopy, is extremely rare. Herein, we report a conservatively treated perforation case as having pneumorrhachis, penumoscrotum, and pneumoperitoneum after colorectal endoscopic submucosal dissection. (Intest Res 2013;11:208-212)
Key Words: Pneumorrhachis, Pneumoscrotum, Colon perforation, Endoscopic submucosal dissection
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