Résumé
Le pneumothorax est une complication exceptionnelle de la coloscopie, en général associé à une perforation péritonéale. L’existence d’une hernie diaphragmatique avec issue du côlon dans le thorax est une cause favorisante le plus souvent méconnue responsable de difficultés de progression avec un risque de perforation accrue de l’anse colique herniée et de pneumothorax par effraction pleurale. Tout retard diagnostic de cette complication aiguë postexamen peut mettre en jeu le pronostic vital.
Abstract
Pneumothorax is a very rare complication of colonoscopy, usually associated with peritoneal perforation. The existence of a diaphragmatic hernia with colon inside the thoracic cavity, which is most often unknown, is a cause for difficulties during colonoscopy, with increased risk of perforation of the herniated colon and of breaking pleural pneumothorax. Any delay in diagnosis of this acute complication after colonoscopy may lead to life-threatening complications.
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Boustière, C., Lebre, P., Jacquin, C. et al. Pneumothorax : une complication exceptionnelle au cours de la coloscopie. Acta Endosc 42, 22–25 (2012). https://doi.org/10.1007/s10190-011-0211-7
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DOI: https://doi.org/10.1007/s10190-011-0211-7