Splenic injuries secondary to colonoscopy: Rare but serious complication

Ullah, Waqas; Rashid, Mamoon Ur; Mehmood, Asif; Zafar, Yousaf; Hussain, Ishtiaq; Sarvepalli, Deepika; Hasan, Muhammad

doi:10.4240/wjgs.v12.i2.55

Cited by 27 publications

(51 citation statements)

References 67 publications

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“…Preventive measures are good colonoscopy technique to avoid loop formation and left lateral position of the patient to reduce the risk of splenic injury after colonoscopy [11]. The use of anticoagulant medications has been reported in some cases, but does not actually correlate with splenic injury [12,13].…”

Section: Discussionmentioning

confidence: 99%

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

D’Orazio¹,

Cudia²,

Martorana³

et al. 2020

Cureus

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Colonoscopy is a routine procedure performed worldwide, nevertheless, a small risk of splenic injury, often underestimated , is still present. As a matter of fact, the diagnosis may be delayed, leading to a rising risk of morbidity and mortality. This paper describes a case of conservative treatment of colonoscopy-associated splenic injury. A 57-year-old woman presented with worsening pain in the upper left abdominal quadrant; she had radiation therapy to the ipsilateral subscapular region, and a diagnostic colonoscopy 18 hours earlier. The computed tomography (CT) scan revealed splenic laceration without signs of hemoperitoneum. Because of the hemodynamic stability of the patient, successful conservative treatment and serial controls of the blood and hemodynamic parameters were adopted. Even if rare splenic injury during colonoscopy is associated with significant morbidity and mortality. A high degree of clinical suspicion is essential to achieve a prompt diagnosis as well as an early surgical evaluation. The nonoperative approach is usually taken in patients with no intraperitoneal bleeding, a closed subcapsular haematoma and a stable hemodynamic status.

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Section: Discussionmentioning

confidence: 99%

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

D’Orazio¹,

Cudia²,

Martorana³

et al. 2020

Cureus

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show abstract

“…It could also be due to blunt splenic trauma by the colonoscope while navigating the splenic flexure. 1 It carries a relatively high mortality rate of around 5%. 2 Most cases present within 24 hours.…”

Section: Diagnosis Splenic Laceration Following Colonoscopymentioning

confidence: 99%

Female with abdominal pain

Berkenbush

Biggs

2020

JACEP Open

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“…Rarely, post-procedural complications may include gastrointestinal bleeding, bowel perforation, and infrequently splenic injury [1]. Although an uncommon complication, splenic rupture due to colonoscopy remains a significant concern and is associated with high mortality rate [1]. We report a unique case of splenic rupture after routine uncomplicated colonoscopy.…”

Section: Introductionmentioning

confidence: 96%

“…Colonoscopy is considered a safe and widely utilized diagnostic and therapeutic procedure for the evaluation of large bowel diseases [1]. Approximately 11.5 million colonoscopies are performed in the United States on a yearly basis, and this amount is expected to increase as the population continues to age [2].…”

Section: Introductionmentioning

confidence: 99%

“…On average, 1.3% of patients present to the emergency department following outpatient colonoscopy procedures, with a chief complaint of abdominal pain, often caused by insufflation of gas during the procedure [3]. Rarely, post-procedural complications may include gastrointestinal bleeding, bowel perforation, and infrequently splenic injury [1]. Although an uncommon complication, splenic rupture due to colonoscopy remains a significant concern and is associated with high mortality rate [1].…”

Section: Introductionmentioning

confidence: 99%

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