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A Stuck Colonoscope in the Chest Cavity: An Uncommon Complication
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  • Muhammad Usman ShahOrcid,
  • Ahmed Eissa,
  • Vincenzo Caruso,
  • Sudhir Bhusari
Muhammad Usman Shah
Orcid
Basildon and Thurrock University Hospitals NHS Foundation Trust
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Ahmed Eissa
Southampton University Hospitals NHS Trust
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Vincenzo Caruso
Guy's and Saint Thomas' Hospitals NHS Trust
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Sudhir Bhusari
Basildon and Thurrock University Hospitals NHS Foundation Trust
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Peer review status:ACCEPTED

22 May 2020Submitted to Journal of Cardiac Surgery
23 May 2020Submission Checks Completed
23 May 2020Assigned to Editor
23 May 2020Reviewer(s) Assigned
24 May 2020Review(s) Completed, Editorial Evaluation Pending
24 May 2020Editorial Decision: Revise Major
25 May 20201st Revision Received
27 May 2020Submission Checks Completed
27 May 2020Assigned to Editor
27 May 2020Reviewer(s) Assigned
01 Jun 2020Review(s) Completed, Editorial Evaluation Pending
01 Jun 2020Editorial Decision: Accept

Abstract

Colonoscopy is generally considered a safe procedure, with a low rate of complications. Although rare, the migration of the colonoscope may represents a life-threating events, requiring emergency treatment. We herein describe the case of an elective colonoscopy complicated by an irretrievable colonoscope that migrated, through a previous traumatic diaphragmatic hernia, in the chest cavity. This hernia was likely a chronic complication of a previous abdominal trauma. Several attempts to retrieve the scope were unsuccessful. After further investigations and collegial discussion, a left thoracotomy was performed, with the aim to retrieve the colonoscope and to reduce the hernia.