Splenic Injury During Colonoscopy—a Complication that Warrants Urgent Attention

Singla, Smit; Keller, Deborah S.; Thirunavukarasu, Pragatheeshwar; Tamandl, Dietmar; Gupta, Samir; Gaughan, John; Dempsey, Daniel T.

doi:10.1007/s11605-012-1871-0

Cited by 63 publications

(97 citation statements)

References 67 publications

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“…On the other hand, there remain infrequent but potentially catastrophic risks with colonoscopy such as perforation and splenic injury. 4,5 In line with our research, we agree with the authors that focal uptake is worth investigating and other patterns are not. However, a formal modelling and cost-effectiveness analysis may also be required in different health care systems with different policies for funding both FDG-PET scans and screening colonoscopies to properly justify the process.…”

supporting

confidence: 92%

Investigation of Incidental Bowel FDG Uptake

Lee

Hartnett

Kumar

2013

Journal of Gastrointestinal Surgery

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supporting

confidence: 92%

Investigation of Incidental Bowel FDG Uptake

Lee

Hartnett

Kumar

2013

Journal of Gastrointestinal Surgery

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“…JRA Skipworth et al reported that 64.4% of splenic injuries after colonoscopy underwent splenectomy (6). In the present case there had been another known pathology for surgical intervention.…”

Section: Discussionmentioning

confidence: 52%

“…Smith et al and Ong et al each reported one case of splenic injury in a series of 20139 and 6387 colonoscopies, respectively (11,12). However, the number of cases with splenic rupture due to colonoscopy reported to be 102 cases (6). Besides, the incidence of splenic injury after colonoscopy is 0.004%, it can be a fatal complication with a mortality rate of 5% (6).…”

Section: Discussionmentioning

confidence: 99%

Splenic Rupture after Colonoscopy

Sevinç

Okuş

et al. 2014

Electron J Gen Med

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“…Additionally, splenic injuries during polypectomy and biopsy procedures have also been reported. Splenic hematoma occurs related to such injuries of splenic parenchyma [3,6]. We have no idea about the mechanism of splenic injury, because it occurred after process performed in other center.…”

Section: Discussionmentioning

confidence: 99%

“…Splenic rupture is a very rare complication following colonoscopy. Its incidence is 1-21/100,000 and the first case was reported in 1974 [3,4]. In the literature, the number of cases reported until now is just over 100 [5].…”

Section: Introductionmentioning

confidence: 99%

Laparascopic Splenectomy Due to Splenic Injury after Colonoscopy

et al. 2016

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Colonoscopy, which is routinely performed in diagnosis and treatment of colorectal disorders, is a reliable procedure. Its most frequent complications are bleeding and perforation. Splenic rupture is a very rarely met complication of colonoscopy, and delay in its diagnosis leads to increased morbidity and mortality. We presented a 69 years old female patient, who was diagnosed by computerized abdominal tomography, performed for her abdominal pain, which started following the colonoscopy. After 15 days of medical treatment and follow-up, laparoscopic splenectomy was performed one month after her colonoscopy. The patient was discharged on her 4 th postoperative day, with uneventful recovery. In patients who have complaint of abdominal pain following colonoscopy, an intraabdominal pathological condition should be considered and computerized abdominal tomography should be performed. If there is no detected intraperitoneal bleeding, in other words, if there is a sub-capsular hematoma of the spleen, medical management by monitoring the vital signs may be preferred. Then, splenectomy should be performed at an appropriate time. Keywords: Laparoscopy, splenectomy, colonoscopy ÖzKolonoskopi kolorektal hastalıkların tanı ve tedavisinde rutin olarak yapılan güvenilir bir işlemdir. En sık görülen komplikasyonlar kanama ve perforasyondur. Dalak rüptürü ise oldukça nadir görülen bir durumdur. Tanıda gecikme morbidite ve mortalitiye artırır. Biz 69 yaşında bir bayan hastayı sunduk. Kolonoskopi sonrası başlayan karın ağrısı şikayeti olan hastaya çekilen batın tomografisi ile tanı konuldu. On beş gün süreyle medikal tedavi uygulanan ve takip edilen hastaya kolonoskopiden 1 ay sonra laparaskopik splenektomi yapıldı. Ameliyat sonrası bir patoloji olmayan hasta 4. gün taburcu edildi. Kolonoskopi sonrası karın ağrısı oluşan hastalarda batın içi bir patoloji olabileceği düşü-nülerek batın tomografisi yapılmalı. Eğer periton içi bir kanama yoksa yani dalakta subkapsüler bir hematom var ise vital bulgu takibi ile medikal tedavi yapılabilir. Daha sonra hastaya uygun zamanda splenektomi yapılmalıdır.

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Splenic Injury During Colonoscopy—a Complication that Warrants Urgent Attention

Cited by 63 publications

References 67 publications

Investigation of Incidental Bowel FDG Uptake

Investigation of Incidental Bowel FDG Uptake

Splenic Rupture after Colonoscopy

Laparascopic Splenectomy Due to Splenic Injury after Colonoscopy

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