Splenic laceration associated with transesophageal echocardiography

Systematic review of atraumatic splenic rupture

“…Splenic ruptures of predominantly iatrogenic or traumatic origin were excluded. These occurred in patients undergoing transoesophageal echocardiography3, endoscopic retrograde cholangiopancreatography4, colonoscopy5, laparoscopic procedures6, extracorporeal shockwave lithotripsy7 and electroconvulsive therapy8. Patients with splenic infarcts without rupture and those with an isolated vascular pathology without splenic parenchymal laceration (for instance splenic vein rupture or splenic artery aneurysm/rupture) were also excluded9.…”

Occult splenic rupture with cardiovascular collapse: a report of three cases in critically ill patients

“…We are not aware of splenic rupture having previously been described after PEG. It is however, a recognised complication of other endoscopic procedures like endoscopic retrograde cholecystopancreatography [9], trans-oesophageal echocardiography [20] and flexible colonoscopy [10].…”

Transgastric Abdominal Ultrasonography in Anesthesia and Critical Care: Review and Proposed Approach

“…Oropharyngeal, esophageal, stomach, and splenic lacerations can be associated with the use of TEE and TGAUS. 129–133 The invasive nature of the modality also precludes imaging in patients with known esophageal or gastric pathologies. In a survey that included 100,604 TGAUS procedures performed in 67 centers in Germany, the complication rate was 0.34%, and almost all complications were duodenal and esophageal perforations, with only 1 case of stomach perforation.…”