Author/Editor		Zafošnik, Andrej; Dajčman, Davorin
Title		Perforacija širokega črevesa ob kolonoskopski polipektomiji - predstavitev bolnice
Translated title		Perforation of colon at colonoscopic polypectomy - a case report
Type		članek
Source		In: Hojs R, Krajnc I, Pahor A, et al, editors. Zbornik predavanj in praktikum 21. srečanje internistov in zdravnikov družinske medicine Iz prakse za prakso z mednarodno udeležbo; 2010 maj 28-29; Maribor. Maribor: Univerzitetni klinični center, Klinika za interno medicino,
Publication year		2010
Volume		str. 251-6
Language		slo
Abstract		Colonoscopy is key diagnostic and therapeutic method in patients with problems at the level of lower gastrointestinal tract. Like every medical procedure, colonoscopy with polypectomy brings along risk of complications, perforation of colon being the most serious. In the following article a case of 75-year old woman is presented, who was admitted to our hospital for further diagnostic of diarrhoea interchanging with obstipation, pain in the epigastric region and below right costal arc, occasional nausea and vomiting which all lasted for 6 months. Colonoscopy findings revealed inner haemorrhoids and a broad-based polyp 5-7 centimetres in length which was located few centimetres before caecum and was histologically defined as lipoma. Polyp was removed with classical polypectomy with snare loop. After the procedure perforation of the colon developed which was verified with native x-ray of the abdomen. Patient was treated surgically. The aim of this article is to draw attention to and elevate awareness of a potentially dangerous complication of the routine medical procedure by all medical personnel and most important patients.
Summary		Kolonoskopija je najpomembnejša diagnostična in tudi terapevtska metoda pri bolnikih s težavami v spodnji prebavni cevi. Kot vsak poseg, tudi kolonoskopija s polipektomijo prinaša s seboj možnost zapletov. Med njimi je najresnejša perforacija ali predrtje črevesa. V prispevku je predstavljena 75-letna bolnica, ki je bila sprejeta v bolnišnico zaradi 6 mesecev trajajočih težav z izmenjevanjem zaprtja in drisk, topih bolečin v žlički in pod desnim rebrnim lokom, občasne slabosti ter bruhanja. S kolonoskopijo smo ugotovili širokobazen, pecljat polip dolžine 5-7 cm nekaj centimetrov pred cekumom, ki je bil patohistološko opredeljen kot lipom. Po klasični polipektomiji z zanko je pri bolnici prišlo do predrtja širokega črevesa, ki smo ga potrdili z nativnim rentgenogramom trebuha. Bolnica je bila kirurško zdravljena. V prispevku želimo opozoriti na nevaren zaplet rutinskega posega, ki se ga morajo zavedati vsi zdravstveni delavci, z njim pa mora biti izčrpno seznanjen tudi bolnik.
Descriptors		COLONIC POLYPS COLONOSCOPY