Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 42: Fulminant Hepatic Failure Following an Elective Colonoscopy (continued)

Eun Ji Shin, MD

A 53-year-old woman was transferred from another hospital with acute hepatic failure. She presented to a local gastroenterology office for an elective colonoscopy due to a history of colonic polyps. During the procedure, 2 diminutive polyps were seen in the sigmoid colon and were removed by snare polypectomy technique. The rest of the examination was otherwise unremarkable. While in the recovery room, the patient complained of abdominal distention and discomfort. A decision was made by the endoscopist to re-insert the colonoscope in order to decompress the colon. Upon scope insertion…