Dear colleagues, during a therapeutic colonoscopy (stent in the rectum should be removed) under general anesthesia, it suddenly came to breathing difficulties, desaturation, CO2 waste and board hard abdomen. The desaturation could be improved at FiO2 1.0 and then manual ventilation, as well as the CO2 normalized. After screening by gastroenterologists free air was detected under the diaphragm and the Kolo cancelled. The patient was requested by the surgeon into the CT: bilateral Pneu, subcutaneous emphysema, free air abdominally. Then OP without visible perforation of the intestine. Pneus been drained.
The patient is well again, but he still has his stent. As the air comes into the thorax? Has anyone experienced this already? Can diffuse through the intestinal wall in the amounts the gas?
