PDF(Pubmed)
Abstract：
A case is described in which appendicitis presented in a 73-year-old woman the day after a colonoscopy. Possible mechanisms for appendicitis aggravated by colonoscopy include barotrauma, irritation by residual glutaraldehyde type solution used for cleaning the endoscope, fecalith, and/or appendicolith being pushed into the orifice of the appendix by insufflation during the colonoscopy. This rare complication is likely most often unavoidable due to the pressure required to properly visualize the colon (which typically ranges from 9 to 57 mmHg) and the manipulation required to visualize and cannulate the ileocecal valve. Physicians should consider possibility of acute appendicitis after colonoscopy when evaluating abdominal pain after a recent colonoscopy.
摘要：
描述了一个病例，在结肠镜检查后的第二天，一名73岁的女性出现阑尾炎。结肠镜检查加重阑尾炎的可能机制包括气压伤，用于清洁内窥镜的残留戊二醛型溶液的刺激，fecalith,和/或在结肠镜检查期间通过吹气将阑尾结石推入阑尾孔。由于正确观察结肠所需的压力（通常在9至57mmHg范围内）以及观察和插入回盲阀所需的操作，这种罕见的并发症通常是不可避免的。在最近一次结肠镜检查后评估腹痛时，医生应考虑结肠镜检查后急性阑尾炎的可能性。
