A Case of Transverse Colon Perforation after Colonoscopy in a Patient with Enterocolitis Caused by Non-typhoidal Group D Salmonella

Clinical manifestations of Salmonella infection are variable such as enterocolitis, bacteremia, enteric fever, focal infection and asymptomatic carrier status. Among these presentations, enterocolitis is the most common clinical manifestation and can be diagnosed by the use of fecal specimens. Patients with severe infectious colitis are at increased risk of developing a colon perforation after colonoscopy due to colon trauma. We report a case of a 31-year-old woman with transverse colon perforation after colonoscopy that was diagnosed with enterocolitis caused by infection with non-typhoidal group D Salmonella. (Korean J Gastrointest Endosc 2008;36:395-400)

[1]  R. Giannella.  Infectious Enteritis and Proctocolitis and Bacterial Food Poisoning , 2010 .

[2]  P. Beck,et al.  A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management , 2003, American Journal of Gastroenterology.

[3]  D. Cheng,et al.  Tension pneumoperitoneum--a complication of colonoscopy: recognition and treatment in the emergency department. , 2002, The Journal of emergency medicine.

[4]  C. Eun,et al.  A case of salmonella enteritis presenting toxic megacolon , 2002 .

[5]  B. Bekdash,et al.  Toxic megacolon due to Salmonella: a case report and review of the literature , 2002, International Journal of Colorectal Disease.

[6]  L. Beaugerie,et al.  Comparative value of colonic biopsy and intraluminal fluid culture for diagnosis of bacterial acute colitis in immunocompetent patients. Infectious Colitis Study Group. , 1999, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[7]  A. Huang,et al.  High Rates of Antimicrobial Resistance among Clinical Isolates of Nontyphoidal Salmonella in Taiwan , 1998, European Journal of Clinical Microbiology and Infectious Diseases.

[8]  H. Goto,et al.  Endoscopic repair by clipping of iatrogenic colonic perforation. , 1997, Gastrointestinal endoscopy.

[9]  M. Fujishima,et al.  Culture of colonoscopically obtained biopsy specimens in acute infectious colitis. , 1994, Gastrointestinal endoscopy.

[10]  J. Heppell,et al.  Toxic megacolon , 1986, Diseases of the colon and rectum.

[11]  F. Macrae,et al.  Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. , 1983, Gut.

[12]  G. Sethi,et al.  Tension pneumoperitoneum and gastric rupture following cardiopulmonary resuscitation. , 1983, Annals of emergency medicine.

[13]  M. Grossman,et al.  Complications of colonoscopy and polypectomy. , 1982, The Surgical clinics of North America.

[14]  R. Kozarek,et al.  Air-pressure-induced colon injury during diagnostic colonoscopy. , 1980, Gastroenterology.

[15]  J. Kirsner,et al.  TOXIC DILATATION OF COLON (TOXIC MEGACOLON): ETIOLOGY, TREATMENT AND PROGNOSIS IN 42 PATIENTS , 1969, Medicine.