Moon JY, Lee MR, Yim SK, Ha GW. Colo-colonic intussusception with post-polypectomy electrocoagulation syndrome: A case report. World J Clin Cases 2022; 10(25): 8939-8944 [PMID: 36157670 DOI: 10.12998/wjcc.v10.i25.8939]
Corresponding Author of This Article
Gi Won Ha, MD, PhD, Assistant Professor, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, San 2-20 Geumam-dong, Deokjin-gu, Jeonju 561-180, Jeonbuk, South Korea. acts29@jbnu.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2022; 10(25): 8939-8944 Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8939
Colo-colonic intussusception with post-polypectomy electrocoagulation syndrome: A case report
Jae Young Moon, Min-Ro Lee, Sung Kyun Yim, Gi Won Ha
Jae Young Moon, Department of Surgery, Jeonbuk National University Hospital, Jeonju 561-180, Jeonbuk, South Korea
Min-Ro Lee, Gi Won Ha, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 561-180, Jeonbuk, South Korea
Sung Kyun Yim, Department of Internal Medicine, Biomedical Research Institute, Jeonbuk National University Hospital and Medical School, Jeonju 54907, Jeonbuk, South Korea
Author contributions: Moon JY, Yim SK, Lee MR, and Ha GW contributed equally to this work; Moon JY, Yim SK, Lee MR, and Ha GW wrote the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gi Won Ha, MD, PhD, Assistant Professor, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, San 2-20 Geumam-dong, Deokjin-gu, Jeonju 561-180, Jeonbuk, South Korea. acts29@jbnu.ac.kr
Received: October 7, 2021 Peer-review started: October 7, 2021 First decision: January 11, 2022 Revised: January 24, 2022 Accepted: July 24, 2022 Article in press: July 24, 2022 Published online: September 6, 2022 Processing time: 323 Days and 3.7 Hours
Abstract
BACKGROUND
Post-polypectomy electrocoagulation syndrome (PPES) can occur after colonoscopic polypectomy and is usually treated conservatively with a positive prognosis. Nevertheless, there can be cases with complications developing.
CASE SUMMARY
A 58-year-old woman, who had no previous medical history, visited the Emergency Department of another hospital with symptoms of abdominal pain and fever, 1 d after multiple colonoscopic polypectomies. An abdominopelvic computed tomography (CT) scan demonstrated colo-colonic intussusception, and she was transferred to our hospital to consider an operation. CT showed colo-colonic intussusception with PPES and no evidence of obstruction. The physical examination showed localized mild tenderness on the right sided abdomen. The patient fasted and was admitted for treatment with intravenous antibiotics (piperacillin/tazobactam 4.5 g each 8 h, ornidazole 500 mg each 12 h). After admission, the symptoms got better and a follow-up CT scan demonstrated resolution of the PPES and intussusception. The patient was discharged on hospital day 9.
CONCLUSION
Colo-colic intussusception can occur with PPES, and it can be properly treated conservatively.
Core Tip: Post-polypectomy electrocoagulation syndrome (PPES) can occur after colonoscopic polypectomy and is usually treated conservatively with a good prognosis. We report herein a rare case of colo-colonic intussusception with PPES in a previous history-free woman. The patient had no severe clinical signs and was treated conservatively without surgical intervention. This case shows the necessity of combining the clinical scenario with radiologic findings to determine a differential diagnosis and optimal management plan.
