Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12375
Peer-review started: August 11, 2022
First decision: September 25, 2022
Revised: October 20, 2022
Accepted: October 26, 2022
Article in press: October 26, 2022
Published online: November 26, 2022
Processing time: 104 Days and 7.3 Hours
Screening colonoscopies are routinely performed and have low occurrences of adverse events such as perforation, bleeding, infection, and post-polypectomy syndrome. True device related adverse events are rarely reported in the literature.
We report a case of a 51-year-old patient without past medical history who presented for her first screening colonoscopy. The patient was thought to have friable mucosa in the cecum and oozed upon water irrigation during screening colonoscopy. It was later identified that the colonoscope used during the index procedure had malfunctioned and produced a pin-point water jet which damaged the colon mucosa of cecum. The maintenance service identified a piece of rubber fragment lodged in the instrument component at the tip of the scope, resulting in high pressure water jet. Repeat colonoscopy with a functioning colonoscope confirmed normal colon mucosa without friability.
This is the first report of mucosa injury from a colonoscope water jet malfunction. Endoscopists should recognize the potential for endoscopic malfunction.
Core Tip: We report a case of colon mucosal injury due to a colonoscope water jet malfunction. During a screening colonoscopy, a patient was found to have friable oozing colon mucosa upon water irrigation. We later found that the water jet of the colonoscope was abnormally narrow with high pressure, resulting in mucosal injury. Removal of a piece of rubber lodged at the tip of the scope normalized the water pressure. The patient’s subsequent colonoscopy showed normal colon mucosa. This is the first reported case of iatrogenic injury from a colonoscope water jet malfunction.