Pneumothorax, Pneumomediastinum and Pneumoperitoneum in a 10-Year-Old Girl Following ColonoscopyEszter Vojcek*, Barbara Vatai, Gabor Veres, Peter Vörös, Attila Szabó and Csaba Lódi
Department of Pediatrics, Semmelweis University, Budapest, Hungary
- *Corresponding Author:
- Eszter Vojcek
Department of Pediatrics
Semmelweis University, Bókay János u. 53-54
Budapest, 1083, Hungary
Email: [email protected]
Received Date: Jun 12, 2017; Accepted Date: Jun 22, 2017; Published Date: Jun 26, 2017
Citation: Vojcek E, Vatai B, Veres G, Vörös P, Szabó A, et al. (2017) Pneumothorax, Pneumomediastinum and Pneumoperitoneum in a 10-Year- Old Girl Following Colonoscopy. Pediatr Ther 7: 323. doi:10.4172/2161-0665.1000323
Copyright: © 2017 Vojcek E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Colonic perforation is an uncommon but severe complication of colonoscopy. We present a case of a 10 -year-old girl who was treated conservatively for inflammatory bowel disease for 6 years. She underwent a diagnostic colonoscopy after which she developed acute respiratory failure. Urgent bedside imaging series revealed pneumothorax, pneumomediastinum and pneumoperitoneum. A chest tube was immediately inserted, and then she was intubated and ventilated. Laparotomy revealed a 1 cm wide perforation of the transverse colon. The rupture was closed and a terminal ileostomy was performed. The postoperative course was uneventful. To best of our knowledge no other case of pneumothorax, pneumomediastinum and pneumoperitoneum after colonoscopy in children has been reported so far in literature.