Mu T, Feng H. Bilateral pneumothorax and pneumomediastinum during colonoscopy in a patient with intestinal Behcet’s disease: A case report. World J Clin Cases 2022; 10(6): 2030-2035 [PMID: 35317145 DOI: 10.12998/wjcc.v10.i6.2030]
Corresponding Author of This Article
Hua Feng, MD, Associate Chief Physician, Associate Professor, Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 9677, Jing Shi Road, Jinan 250021, Shandong Province, China. fenghua198104@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 26, 2022; 10(6): 2030-2035 Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.2030
Bilateral pneumothorax and pneumomediastinum during colonoscopy in a patient with intestinal Behcet’s disease: A case report
Tong Mu, Hua Feng
Tong Mu, Hua Feng, Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong Province, China
Author contributions: Mu T drafted the article. Feng H collected the data of the patient, revised the article and made the decision to submit for publication; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua Feng, MD, Associate Chief Physician, Associate Professor, Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 9677, Jing Shi Road, Jinan 250021, Shandong Province, China. fenghua198104@163.com
Received: September 15, 2021 Peer-review started: September 15, 2021 First decision: October 18, 2021 Revised: October 31, 2021 Accepted: January 11, 2022 Article in press: January 11, 2022 Published online: February 26, 2022 Processing time: 161 Days and 4.1 Hours
Abstract
BACKGROUND
Colonoscopy is essential for the diagnosis of intestinal Behcet’s disease (BD), which is characterized by a typical oval-shaped ulcer in the ileocecal region. However, potential risks of colonoscopy have rarely been reported.
CASE SUMMARY
Herein, we describe a patient with intestinal BD who presented with decreased oxygen saturation and shortness of breath during a diagnostic colonoscopy. Bilateral pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema of the neck, chest, abdomen, back and scrotum were confirmed by computed tomography scan. The sudden change in condition was considered to be associated with iatrogenic bowel perforation. After receiving closed thoracic drainage and conservative therapy, the patient was discharged in stable condition.
CONCLUSION
Endoscopists should be aware of the risks of colonoscopy in patients with intestinal BD and the possibility of pneumothorax associated with intestinal perforation and make adequate preparations before colonoscopy.
Core Tip: Colonoscopy is necessary for diagnosing intestinal Behcet’s disease and determining the severity of gastrointestinal involvement. Endoscopists should be aware of the potential risks of colonoscopy in patients with intestinal Behcet’s disease and the possibility of pneumothorax associated with intestinal perforation.
