Anonymous User
Login / Registration

a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2017; 71(4): 337–340. doi:10.14735/amgh2017337.

Acute appendicitis – a rare complication of colonoscopy

Tomáš Kadlčík1, Ludvík Straka  1

+ Affiliation


Acute appendicitis induced by colonoscopy is a very rare complication with 0.038% occurrence. Until July, 2016, only 37 cases have been described. The exact relationship between colonoscopy and development of acute appendicitis is not well known, but is probably caused by a combination of factors. The submitted case presents a patient without previous abdominal symptoms, who developed acute appendicitis in 48 hours after non-complicated colonoscopy. A delay in diagnosis caused by self-treatment and late admission to the hospital led to the formation of a periappendicular infiltrate. The patient was treated conservatively with antibiotics and underwent laparoscopic appendectomy almost 4 months later. Only 4 out of 37 described cases of acute appendicitis were treated primarily conservatively. In other cases, where treatment was documented, patients underwent appendectomy as the treatment of first choice. The objective of this report is to point out the occurrence of acute appendicitis as a rare complication of colonoscopy, which nonetheless should be included in the differential diagnosis of abdominal pain after colonoscopy.


apendicitis, endoscopy, colonoscopy

To read this article in full, please register for free on this website.

Benefits for subscribers

Benefits for logged users


1. Ming-Li W, Kuldeep S, Federick S. Acute Appendicitis After Colonoscopy: a Case Report and Review of Literature. [online]. Available from:
2. Hiun-Suk C, Su-Yun J, Woo-Seok N et al. Appendicitis Caused by Colonoscopy.  Korean J Intern Med 2007; 22 (4): 308–311. doi: 10.3904/kjim.2007.22.4.308.
3. Falt P, Urban O, Vítek P. Komplikace koloskopie. In: Falt P, Urban O, Vítek P.  Koloskopie. 1. vyd. Praha: Grada 2015:  119–126.
4. Vondrová L, Hovorková E, Cyrany J et al. Vzácná komplikace koloskopie – cholelithiáza s komplikacemi. Gastroent Hepatol 2016; 70 (5): 426–431. doi: 10.14735/amgh2016csgh.info13.
5. Cyrany J, Kopáčová M. Kočí J et al. Tříselná kýla a komplikace koloskopie. Folia Gastroenterol Hepatol 2008; 6 (4):  2–4.
6. Paramythiotis D, Kofina K, Papadopoulos V et al. Diagnostic Colonoscopy Leading to Perforated Appendicitis: A Case Report and Systematic Literature Review. Case Rep Gastrointest Med 2016; 2016: 1378046.
7. Johnston P, Maa J. Perforated Appendicitis After Colonoscopy. JSLS 2008; 12 (3): 335–337.
8. Bachir NM, Feagins LA. Postcolonoscopy appendicitis in a patient with active ulcerative colitis. World J Gastrointest Endosc 2010; 2 (6): 232–234. doi: 10.4253/wjge.v2.i6.232.
9. Shaw D, Gallardo G, Basson MD. Post-colonoscopy appendicitis: a case report and systematic review. World J Gastrointest Surg 2013; 5 (10): 259–263. doi: 10.4240/wjgs.v5.i10.259.
10. Sheikh AA, Watt J, Tee M et al. Appendicitis as a complication of colonoscopy. J Surg Case Rep 2010; 2010 (9): 1. doi: 10.1093/jscr/2010.9.1.
11. Kunovsky L, Kala Z, Mitas L et al. Rare cases imitating acute appendicitis: Three case reports and a review of literature. Rozhl Chir 2017; 96 (2): 82–87.
12. Petro M, Minocha A. Asymptomatic early acute appendicitis initiated and diagnosed during colonoscopy: a case report. World J Gastroenterol 2005; 11 (34): 5398–5400. doi: 10.3748/wjg.v11.i34.5398.

Credited self-teaching test