Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2024; 12(18): 3615-3621
Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3615
Vomiting-induced pharyngeal perforation during bowel preparation for colonoscopy: A case report
Geonhee Kim, Won Hyuk Lee, Seokin Kang, Jung Rock Moon, Yoon Suk Lee, Jun Hyuk Son, Nam-Hoon Kim, Jong Wook Kim
Geonhee Kim, Won Hyuk Lee, Seokin Kang, Jung Rock Moon, Yoon Suk Lee, Jun Hyuk Son, Nam-Hoon Kim, Jong Wook Kim, Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, South Korea
Co-first authors: Geonhee Kim and Won Hyuk Lee.
Author contributions: Kim G and Lee WH contributed equally to this work as co-first authors; Kim G, Lee WH, and Kang S contributed to manuscript writing and editing; Son JH and Kim JW contributed to data collection; Moon JR and Lee YS contributed to data analysis; Kang S and Kim NH contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: The institutional review board of Ilsan Paik Hospital approved this study (approval number 2024-03-011). Informed written consent was waived by the institutional review board.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
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: https://creativecommons.org/Licenses/by-nc/4.0/.
Corresponding author: Seokin Kang, MD, Assistant Professor, Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwa-ro, Ilsanseo-gu, Goyang 10380, South Korea. seokinkang@paik.ac.kr
Received: March 13, 2024
Revised: April 22, 2024
Accepted: April 25, 2024
Published online: June 26, 2024
Processing time: 96 Days and 23.9 Hours
Core Tip

Core Tip: Vomiting is a common complication of bowel preparation. Forceful vomiting can lead to esophageal perforation, as reported in several prior cases. However, pharyngeal perforation during bowel preparation has not been reported previously. Here, we present a rare case of pharyngeal perforation caused by forceful vomiting during bowel preparation. The perforation was resolved with conservative medical management. Pharyngeal perforation should be considered a potential complication during bowel preparation for colonoscopy when sudden pain in the neck, throat, and anterior chest occurs following forceful vomiting. Early recognition and prompt management are important in vomiting-induced pharyngeal perforation during bowel preparation.