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Year : 2018  |  Volume : 9  |  Issue : 4  |  Page : 201-204

Endoscopic management of an iatrogenic colonic perforation using standard hemoclips

1 Department of Medical Gastroenterology, Bihar Institute of Gastroenterology, Patna, Bihar, India
2 Department of Surgical Gastroenterology, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Vijay Prakash
Department of Medical Gastroenterology, Bihar Institute of Gastroenterology, Patna, Bihar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jde.JDE_23_18

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Iatrogenic colonic perforation is an unusual but life-threatening complication of colonoscopy. The recent advancement in endoscopy technology has made nonoperative treatment a safe and effective option for managing such perforations. A 70-year-old man sustained an iatrogenic sigmoid perforation during diagnostic colonoscopy. The abdominal X-ray showed free gas under diaphragm. He was started on conservative management and intravenous antibiotics. He underwent a second colonoscopy after 2.5-h, perforation was identified and closed with standard hemoclips. He recovered well and was discharged from hospital 6 days later. There are only a handful of reports in the medical literature describing successful outcomes following endoscopic management. Most of the cases have been managed with over-the-scope clips or endoscopic sutures that are quite expensive. In the present report, an iatrogenic sigmoid perforation was managed endoscopically with standard hemoclips. The hemoclip can be an effective, yet economical method of perforation repair in selected cases.

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