Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids.
bullous pemphigoid
cold snare polypectomy
colorectal polyps
corticosteroid
perforation
Journal
DEN open
ISSN: 2692-4609
Titre abrégé: DEN Open
Pays: Australia
ID NLM: 9918317682706676
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
04
04
2022
revised:
28
06
2022
accepted:
04
07
2022
entrez:
28
7
2022
pubmed:
29
7
2022
medline:
29
7
2022
Statut:
epublish
Résumé
This case report describes a fatal outcome due to delayed perforation after cold snare polypectomy in a patient with bullous pemphigoid receiving oral corticosteroids. Cold snare polypectomy has become the standard treatment for small colorectal polyps because of the procedure's safety and simplicity. In this case, however, corticosteroid therapy and vasculitis may have caused local necrosis and tearing of the intestinal wall. Corticosteroids are widely used, and perforation after cold snare polypectomy is extremely rare. However, some patients on corticosteroid therapy may have special pathologies, such as in this case, and we advise physicians to use appropriate judgment and extreme caution in determining the indication for endoscopic therapy.
Identifiants
pubmed: 35898834
doi: 10.1002/deo2.157
pii: DEO2157
pmc: PMC9307717
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e157Informations de copyright
© 2022 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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