Endoscopy 1999; 31(3): 274-276
DOI: 10.1055/s-1999-13683
Case Report

Georg Thieme Verlag Stuttgart · New York

Diagnosis and Hazards of Unexpected Diaphragmatic Hernias During Colonoscopy: Report of Two Cases

U. A. Baumann, M. Mettler
  • Medical Clinic, Bezirksspital, Oberdiessbach, Switzerland
Further Information

Publication History

Publication Date:
31 December 1999 (online)

Two cases of diaphragmatic hernias are reported. Both cases were previously undiagnosed and were found during diagnostic colonoscopy. In one case sudden respiratory distress occurred during the endoscopic procedure owing to a barotraumatic perforation in a left-sided hernia with tension pneumothorax. The diagnoses were made by fluoroscopy without delay. Endoscopists should be aware of the possible occurrence of diaphragmatic hernias and their risk as life-threatening complications. To avoid such dangerous complications access to X-ray facilities with fluoroscopy is recommended in endoscopic units where colonoscopies are performed.