Post-polypectomy coagulation syndrome: a tricky to diagnose hot snare problem that can be eliminated thanks to cold snare revolution

Arch Clin Cases. 2022 Dec 19;9(4):170-172. doi: 10.22551/2022.37.0904.10226. eCollection 2022.

Abstract

Post-polypectomy syndrome or post-polypectomy coagulation syndrome (PPCS) is a rare adverse event of thermal injury caused during hot snare aided, endoscopic mucosal resection of colon polyps. Its diagnosis is tricky as it is commonly misdiagnosed as perforation leading to unnecessary exploratory abdominal surgeries. The authors aim to present an early diagnosed and successfully treated, case of PPCS, and to highlight the difference in the safety profile of two techniques; hot snare versus cold snare polypectomy.

Keywords: Post-polypectomy coagulation syndrome; cold snare polypectomy; endoscopic mucosal resection adverse events; hot snare polypectomy.

Publication types

  • Case Reports