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Sigmoid Perforation during CT Colonography in a Patient with an Inguinal Hernia and Concomitant Finding of a Right-Sided Colon Cancer
Turner J*, Page M, Clark C and Khanduja KDepartment of Surgery, Morehouse School of Medicine, 720 Westview Drive, S.W., Atlanta, GA 30310, USA
- *Corresponding Author:
- Jacquelyn S. Turner, MD
Colon and Rectal Surgery
Department of Surgery
Morehouse School of Medicine
720 Westview Drive, S.W.
Atlanta, GA 30310, USA
Tel: 404-616-1440
Fax: 404-616-1417
E-mail: jturner@msm.edu
Received date: January 01, 2016 Accepted date: January 12, 2016 Published date: January 15, 2016
Citation: Turner J, Page M, Clark C, Khanduja K (2016) Sigmoid Perforation during CT Colonography in a Patient with an Inguinal Hernia and Concomitant Finding of a Right-Sided Colon Cancer. J Gastrointest Dig Syst 6:378. doi:10.4172/2161-069X.1000378
Copyright: © 2016 Turner J, 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.
Abstract
The use of computed tomography colonography or virtual colonography (VC) is gaining acceptance as a screening modality for colon cancer. A comprehensive understanding of VC complications is limited. We report a case of colon perforation in a patient where a colon cancer was diagnosed using VC colonography with manual insufflation. A 79-year-old patient underwent a VC after a failed screening optical colonoscopy (OC). The initial radiological findings included a large amount of mesoperitoneum and retroperitoneal air near the proximal sigmoid and a left inguinal hernia containing the distal sigmoid colon suggesting a colonic perforation caused by colonic obstruction. Subsequent radiological interpretation revealed a 1.5 cm lesion in the posterior cecum. The patient underwent repair of the hernia, sigmoid resection for sigmoid perforation, followed by intra-operative colonoscopy (which confirmed the radiographic findings of a cecal lesion) and right colectomy. Pathologic examination confirmed the T3, N0, MX adenocarcinoma.
