Rupture of Colon During Colonoscopy
Q: Please help me. My mom had a colon perforation during a colonoscopy on 6-21-2013. Immediate surgery was done to fix perforation. Doctors realized she was getting an infection due to classic symptoms, including red streaks going from both sides of her incision across her stomach and down to waist. Culture came back E coli but I do not know what strain because doctors didn’ tell about it. She was started on Avelox intravenously 4 days ago. Things seemed to be getting better but now a new red streak is forming from her incision. There is frequent twitching pain throughout the length of her finger just underneath the red streak. Does this mean new infection is spreading? They are trying to send her home today.
Yes, it is possible that there is some infection. It may be the old infection or some new one.
Your mom needs to be evaluated. She needs further medication with relevant antibiotics. This condition needs to be attended with urgency.
Also, the cause of infection needs to be detected. It is possible that the perforation has not been sealed adequately. An exploratory laproscopy may be required.
Gastrointestinal perforation is always a surgical emergency. It may occur in the colon, stomach, small intestine or anywhere else.
What Is a Gastrointestinal Perforation?
A leak in the wall of the GI tract, anywhere throughout its length is called a perforation.
It may occur due to surgical procedures like colonoscopy, trauma due to sharp food stuff like bones, unattended ulcers etc.
The affected part of GI often has a weakened wall. This may be due to some underlying disease like crohn’s or ulcerative colitis, any growth or biopsy procedures.
Identifying a Perforation
The belly becomes tender and rigid like a board. This is because intestinal contents leak out from it and spill in the peritoneal cavity.
Heart sounds can sometimes be heard over the whole abdomen. The patient is unable to pass stools or flatus.
This condition is always an emergency. Infections spread very quickly in the peritoneal cavity. This is called peritonitis.