Perforation upon retroflexion: an endoscopic complication and repair

Abstract

Retroflexion in the rectum has been reported to cause perforation in a small number of cases [1] [2]. Of these, only one case, in which the perforation occurred below the peritoneal reflection, was repaired endoscopically [2]. We report a case of perforation above the peritoneal reflection upon colonoscope retroflexion with endoscopic closure in a healthy colon.