Annals of Coloproctology

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Pneumoretroperitoneum, Pneumomediastinum, Subcutaneous Emphysema After a Rectal Endoscopic Mucosal Resection: Hee Cheul Jung, Hyun Jin Kim, Sung Bok Ji, Jun Hyeong Cho, Ji Hye Kwak, Chang Min Lee, Wan Soo Kim, Jin Ju Kim, Jae Min Lee, Sang Su Lee; Ann Coloproctol. 2016;32(6):234-238. Published online December 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.6.234

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An endoscopic mucosal resection (EMR) is an effective and safe therapeutic technique for treating a patient with a laterally-spreading tumor (LST). Colonoscopic-procedure-related complications are noted to be about 2.8% worldwide, and a perforation is the most common. Most colon perforations cause pneumoperitoneum. However, a perforation within the retroperitoneal portion of the colon (rectum and some of sigmoid colon) may cause an extraperitoneal perforation, and the leaking free air may induce pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema, depending on the amount of discharged air. Herein, we present the case of a patient with an extraperitoneal colon microperforation which manifested as pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema after an EMR for a sigmoid LST, which was successfully treated with medical treatment and endoscopic clipping.

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Asymptomatic sigmoid diverticulum perforation-induced subcutaneous, mediastinal, and retroperitoneal emphysema: A case report and literature review
Daichi Setoguchi, Naoki Iwanaga, Kotaro Nema, Tomoya Hagiwara, Kotaro Hayashida, Koki Yamashita, Tatsuro Hirayama, Masataka Yoshida, Kazuaki Takeda, Shotaro Ide, Masato Tashiro, Takahiro Takazono, Masachika Kitajima, Noriho Sakamoto, Koichi Izumikawa, Kat
Respiratory Medicine Case Reports.2025; 56: 102229. CrossRef
Pneumoretroperitoneum mimicking rectal perforation, secondary to vaginal wall laceration following sexual intercourse in a 19-year-old woman in Korea: a case report
Sung Pil Choo, Ki Eun Seon, Jae Cheol Jung, Kyeong Deok Kim, Moon Suk Choi
Journal of Acute Care Surgery.2025; 15(2): 86. CrossRef
The Close Relationship between Large Bowel and Heart: When a Colonic Perforation Mimics an Acute Myocardial Infarction
Maria Francesca Secchi, Carlo Torre, Giovanni Dui, Francesco Virdis, Mauro Podda
Case Reports in Surgery.2018; 2018: 1. CrossRef
Pneumoretroperitoneum, Pneumomediastinum, Pneumothorax, and Subcutaneous Emphysema after Diagnostic Colonoscopy
Hee Sung Lee, Hwan Hee Park, Ju Seok Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Byung Seok Lee, Hyun Yong Jeong
The Korean Journal of Gastroenterology.2017; 70(3): 145. CrossRef

Original Article

The Synchronous Prevalence of Colorectal Neoplasms in Patients with Stomach Cancer: Sang Su Lee, Woon Tae Jung, Cha Young Kim, Chang Yoon Ha, Hyun Ju Min, Hyun Jin Kim, Tae Hyo Kim; J Korean Soc Coloproctol. 2011;27(5):246-251. Published online October 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.5.246

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Abstract PDF

Purpose

The association between stomach cancer and colorectal cancer is controversial. The purpose of this study was to determine the synchronous prevalence of colorectal neoplasms in patients with stomach cancer.

Methods

A total of 123 patients with stomach cancer (86 male) and 246 consecutive, age- and sex-matched persons without stomach cancer were analyzed from July 2005 to June 2010. All of them underwent colonoscopy within 6 months after undergoing gastroscopy.

Results

The prevalence of colorectal neoplasms was significantly higher in the stomach cancer group (35.8%) than in the control group (17.9%) (P < 0.001). Colorectal neoplasms were more prevalent in the patients with stomach cancer (odds ratio [OR], 3.10; 95% confidence interval [CI], 1.71 to 5.63). In particular, the difference in the prevalence of colorectal neoplasms was more prominent in the patients above 50 years old (OR, 3.54; 95% CI, 1.80 to 6.98).

Conclusion

The results showed that the synchronous prevalence of colorectal neoplasms was higher in patients with stomach cancer than in those without stomach cancer. Therefore, patients with stomach cancer should be regarded as a high-risk group for colorectal neoplasms, and colonoscopy should be recommended for screening.

Citations

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Retrospective cohort study investigating association between precancerous gastric lesions and colorectal neoplasm risk
Hui Pan, Yu-Long Zhang, Chao-Ying Fang, Yu-Dai Chen, Li-Ping He, Xiao-Ling Zheng, Xiaowen Li
Frontiers in Oncology.2024;[Epub] CrossRef
Prognostic significance of NUAK1 and its association with immune infiltration in stomach adenocarcinoma
Xin Ni, Fan Pan, Ya Kun Lang, Wei Zhang
Discover Oncology.2024;[Epub] CrossRef
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Karin Wallander, Wen Liu, Susanna von Holst, Jessada Thutkawkorapin, Vinaykumar Kontham, Anna Forsberg, Annika Lindblom, Kristina Lagerstedt‐Robinson
Genes, Chromosomes and Cancer.2019; 58(11): 775. CrossRef
Frequency and risk factors of colorectal adenoma in patients with early gastric cancer
Hyun H. Chung, Kyeong O. Kim, Si H. Lee, Byung I. Jang, Tae N. Kim
Internal Medicine Journal.2017; 47(10): 1184. CrossRef
Is Colonoscopic Screening Necessary for Patients Younger than 50 Years with Gastric Adenoma or Cancer?
Nam Hee Kim, Jung Ho Park, Dong Il Park, Chong Il Sohn, Yoon Suk Jung
Journal of Korean Medical Science.2017; 32(8): 1281. CrossRef
Is Preoperative Work-Up Colonoscopy Necessary for Patient with Gastric Cancer?
Hee Chan Yang, Ju Hyung Lee, Sung Kyun Yim, Hong-Seon Son, Seung Young Seo, Seong Hun Kim, In Hee Kim, Seung Ok Lee, Soo Teik Lee, Sang Wook Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2016; 16(4): 215. CrossRef
Short-term Outcomes of Laparoscopic Surgery for Synchronous Gastric and Colorectal Cancer
Ryoji Makizumi, Shinya Mikami, Kuniyasu Horikoshi, Tsukasa Shimamura, Shinjiro Kobayashi, Akira Hanai, Satoshi Tsukikawa, Yukihito Kokuba, Nobuyoshi Miyajima, Takehito Otsubo
Journal of St. Marianna University.2015; 6(2): 273. CrossRef
Clinical Significance of Colonoscopy in Patients with Upper Gastrointestinal Polyps and Neoplasms: A Meta-Analysis
Zhen-Jie Wu, Yuan Lin, Jun Xiao, Liu-Cheng Wu, Jun-Gang Liu, John Green
PLoS ONE.2014; 9(3): e91810. CrossRef
Role of Preoperative Colonoscopy in Patients with Gastric Cancer: A Case Control Study of the Prevalence of Coexisting Colorectal Neoplasms
Han Mo Yoo, Tae Geun Gweon, Ho Seok Seo, Jung Ho Shim, Sung Il Oh, Myung Gyu Choi, Kyo Young Song, Hae Myoung Jeon, Cho Hyun Park
Annals of Surgical Oncology.2013; 20(5): 1614. CrossRef

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