Splenic laceration after routine colonoscopy, a case report of a rare iatrogenic complication

Li, Shuo; Gupta, Nishant; Kumar, Yogesh; Mele, Frank

doi:10.21037/tgh.2017.04.11

Cited by 10 publications

(5 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…So taken into consideration the incidence of splenic injury of 1 in 100,000 exams, we can imagine that 224 splenic injuries have been caused only in 2004. Consequently, in accordance with various authors, we think that splenic injuries during colonoscopies are under-detected and underestimated; the possible reason for this includes the misattribution of pain to gas discomfort, particularly in haemodynamically stable patients [4][5][6]9,10].…”

Section: Discussionsupporting

confidence: 78%

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

D’Orazio¹,

Cudia²,

Martorana³

et al. 2020

Cureus

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 78%

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

D’Orazio¹,

Cudia²,

Martorana³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…While splenic injury is an uncommon complication of colonoscopy, its mortality rate of 5% [2] and seemingly increasing incidence of case reports have led to recent literature exploring potential causes, risk factors, and management practices. A review of the literature showed excess torque at the splenic flexure of the colon, and thus tension on the splenocolic ligament, to be a frequent mechanism of damage to the spleen [2][3][4][5][6][7][8][9][10][11][12]; however, the authors were unable to identify any previous report of scoliosis and altered anatomy as a contributing risk factor for increased tension on the splenocolic ligament or iatrogenic splenic injury during colonoscopy. Numerous factors for predicting difficult colonoscopy have been reported [13][14][15], but scoliosis has not been noted as a predictive factor.…”

Section: Discussionmentioning

confidence: 99%

A Case of Iatrogenic Splenic Injury Following Routine Colonoscopy With Possible Influence of Unique Anatomy Due to Severe Scoliosis

Wright

Gray

Huynh

2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Based on this, it is obvious that general surgeons should use endoscopy in emergency situations where gastroenterologists are not available, such as in state hospitals. In some emergency conditions such as swallowed foreign bodies, endoscopic intervention performed by a general surgeon may reduce delay and costs due to undue patient referral, and, most importantly, death, which may result in legal actions [ 4 ]. Fifty percent of participants in the present study reported they removed foreign bodies and that it was necessary to do so because central hospitals were far away.…”

Section: Discussionmentioning

confidence: 99%

“…Diseases of the upper gastrointestinal tract, including the esophagus, stomach, and duodenum, may be easily diagnosed and treated using this technique [ 3 ]. Although endoscopy is considered a safe procedure, it is associated with complications, including intestinal hemorrhage and perforation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Emergency Endoscopy and the Importance of Endoscopy Training in General Surgery Residency: A Survey-Based Study

et al. 2017

View full text Add to dashboard Cite

BackgroundEmergency endoscopy is a life-saving technique of great significance. The aim of our study was to draw attention to endoscopy training activities of general surgeons and their opinions on this issue.Material/MethodsWe asked general surgery specialists where they received their general surgery training, the institution where they currently worked, how many years they had been practicing, if they had endoscopy training during or after residency, if a gastroenterologist was available in their hospital, and whether they used endoscopy. We also asked some questions, including ‘Should general surgeons perform emergency or elective endoscopy?’, ‘Is endoscopy training required in general surgery’, and ‘What is your opinion regarding this issue?’, and we assessed the answers.ResultsOf the 138 general surgeons undertaking surveys, 63% of participants received their general surgery training in university hospitals and 37% in training and research hospitals. The duration of practicing as a general surgeon was 5 years for 23.9%, 5–15 years for 38.4%, 15–20 years for 20.3%, and over 20 years for 17.4% of participants. The rate of receiving endoscopy training at residency was 51.4%, 25.4% did not have endoscopy training, and 23.2% had postgraduate training. All participants replied affirmatively to the question ‘Should general surgeons perform emergency or elective endoscopy?’.ConclusionsAlthough endoscopy has been widely used recently, gastroenterologists are not available in every hospital. Consequently, it is evident that endoscopy should be part of general surgery training.

show abstract

Splenic laceration after routine colonoscopy, a case report of a rare iatrogenic complication

Cited by 10 publications

References 22 publications

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

Conservative Treatment of Splenic Haematoma After Colonoscopy: A Case Report

A Case of Iatrogenic Splenic Injury Following Routine Colonoscopy With Possible Influence of Unique Anatomy Due to Severe Scoliosis

Emergency Endoscopy and the Importance of Endoscopy Training in General Surgery Residency: A Survey-Based Study

Contact Info

Product

Resources

About