Post-Colonoscopy Cecal Perforation Presenting as Soft Tissue Emphysema in Ileocecal Tuberculosis: A Case Report

Colonic perforation is an uncommon but serious complication of colonoscopy, which can be extraperitoneal, intraperitoneal, or a combination of both. We present a case of combined colonic perforation in a young woman with ileocecal tuberculosis who experienced colicky pain in the right iliac fossa. She underwent an emergency right hemicolectomy, with no signs of peritonitis observed during surgery. Postoperatively, she was started on antituberculosis therapy and is currently doing well. This case is notable because a thorough review of recent literature identified only three reported instances of post-colonoscopy retroperitoneal cecal perforation.