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Case Reports
. 2015 Oct 19;5(5):29147.
doi: 10.3402/jchimp.v5.29147. eCollection 2015.

Post-polypectomy electrocoagulation syndrome: a rare cause of acute abdominal pain

Asad Jehangir  1 , Kyle M Bennett  2 , Andrew C Rettew  2 , Opeyemi Fadahunsi  2 , Bilal Shaikh  2 , Anthony Donato  2
Affiliations
Case Reports

Post-polypectomy electrocoagulation syndrome: a rare cause of acute abdominal pain

Asad Jehangir et al. J Community Hosp Intern Med Perspect. .

Abstract

While generally safe, the most feared complication of colonoscopy is perforation of the colon, occurring in nearly 1 in 1,000 procedures, and is more common when polypectomy is performed and electrocautery is used. Less commonly known is the post-polypectomy electrocoagulation syndrome, a transmural burn of the colon which mimics the signs and symptoms of perforation as well as the time course, but follows a benign course and can be treated conservatively.

Keywords: post-polypectomy electrocoagulation syndrome; snare polypectomy; transmural burn; tubulovillous polyp.

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Figures

Fig. 1
Fig. 1
CT abdomen and pelvis with contrast (axial view) revealing significant inflammatory change in the right lower quadrant in the mesenteric fat surrounding the cecum (white arrow) and thickening of the cecal wall (dotted arrow).
Fig. 2
Fig. 2
CT abdomen and pelvis with contrast (sagittal view) revealing significant inflammatory change in the right lower quadrant in the mesenteric fat surrounding the cecum (white arrow) and thickening of the cecal wall (dotted arrow).
See this image and copyright information in PMC

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