{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:48:44Z","timestamp":1769158124486,"version":"3.49.0"},"reference-count":7,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["GE Port J Gastroenterol"],"abstract":"<jats:p>Introduction: Iatrogenic colonic perforation following diagnostic colonoscopy is rare (0.016\u20130.8%) but carries significant morbidity. Reported mechanisms include direct mechanical injury, thermal damage or barotrauma. Management options range from immediate endoscopic treatment to surgical intervention or clinical observation. Case Presentation: A 49-year-old asymptomatic female patient underwent a screening colonoscopy. During the procedure, altered mucosal perfusion of the ascending colon was suspected, prompting referral to the Emergency Department. Imaging revealed a large pneumoperitoneum. Diagnostic laparoscopy identified serosal lacerations of the ascending colon with a punctiform perforation. An invaginating suture was performed to reinforce the fragile areas of the colon. The postoperative course was uneventful, and the patient remained asymptomatic at the 10-month follow-up. Discussion\/Conclusion: Serosal laceration is a rare complication, usually related to increased intraluminal pressure during colonoscopy. In the presence of atypical endoscopic findings, hyper pressure-related injury should be considered. Early recognition is essential to reduce the morbidity associated with iatrogenic colonic perforation.<\/jats:p>","DOI":"10.1159\/000549926","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T17:01:51Z","timestamp":1765213311000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Treatment of Iatrogenic Serosal Lacerations during Colonoscopy: A Case Report of a Rare Complication"],"prefix":"10.1159","author":[{"given":"Carolina","family":"Robalo","sequence":"first","affiliation":[]},{"given":"Isabel","family":"Mesquita","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5184-1318","authenticated-orcid":false,"given":"Jos\u00e9 Pedro","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Gon\u00e7alo","family":"Pinto Soares","sequence":"additional","affiliation":[]},{"given":"Cl\u00e1udia","family":"Paiva","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5704-8895","authenticated-orcid":false,"given":"Marisa D.","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Paulo","family":"Soares","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-018-0162-9"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2021.06.045"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1309710"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)63879-2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002653"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2020.0086"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.7453\/gahmj.2013.008"}],"container-title":["GE - Portuguese Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000549926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:01:05Z","timestamp":1769101265000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000549926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":7,"URL":"https:\/\/doi.org\/10.1159\/000549926","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.30820250","asserted-by":"subject"}]},"ISSN":["2341-4545","2387-1954"],"issn-type":[{"value":"2341-4545","type":"print"},{"value":"2387-1954","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]}}}