Splenic rupture following colonoscopy: Rare in the UK?

Shah, PR; Raman, Swathi; Haray, P

doi:10.1016/s1479-666x(05)80095-2

Cited by 22 publications

(12 citation statements)

References 26 publications

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“…Further analysis also showed a splenectomy rate Nearly complete splenic capsular avulsion with evidence of diffuse hemorrhage from the surface of the spleen of 72.5%, which is signifi cantly higher than the rates previously reported (Table 1). 7,8,[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Consequently, the traditional management principles of blunt splenic injury may not apply to the injuries sustained from colonoscopy. Splenic injuries after colonoscopy may be characterized by a higher grade of injury or necessitate earlier operative intervention, namely an open splenectomy.…”

Section: Discussionmentioning

confidence: 99%

Splenic rupture as a complication of colonoscopy: Report of a case

et al. 2009

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Colonoscopy is a common procedure with the rare complication of a splenic injury. The proposed mechanism of injury is excessive splenocolic ligament traction. The diagnosis is made by computed tomography and the treatment is determined by the patient's stability. Here we report a case of splenic injury during colonoscopy with failure to manage conservatively. A review of the literature and suggested guidelines are also provided.

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Section: Discussionmentioning

confidence: 99%

Splenic rupture as a complication of colonoscopy: Report of a case

et al. 2009

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“…Furthermore, we have described only the fourth report of splenic injury secondary to colonoscopy from a UK-based centre. [2][3][4] Most reports originate from US and Europe, thus raising the possibility of under-reporting or underdiagnosing in the UK. …”

Section: Methodsmentioning

confidence: 99%

Splenic injury following colonoscopy – an underdiagnosed, but soon to increase, phenomenon?

Skipworth

Rawal²,

Damink³

et al. 2009

Ann R Coll Surg Engl

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A 71-year-old woman presented to the emergency department, 6 days following a diagnostic colonoscopy (arranged following a routine-surveillance, positive, faecal occult blood test). She complained of lower abdominal pain and left-sided chest and shoulder pain, beginning on the first day following colonoscopy, associated with looking pale and feeling lethargic. Her general practitioner (GP) had prescribed oral antibiotics for a presumed lower respiratory tract infection.Her past medical history included atrial fibrillation, treated with sotalol and warfarin; a monitored abdominal aortic aneurysm (AAA); and treated hypothyroidism and hypercholesterolaemia. Her warfarin prescription had been ceased 5 days prior to colonoscopy (although her

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“…Studies have shown this sign in patients with splenic abscess, spontaneous phrenic artery rupture, infectious mononucleosis, and following colonoscopy. [20][21][22][23][24][25][26] Irritation of the diaphragm by the abdominal contents, such as free blood, results in transmission of pain sensation through the phrenic nerve to the C3-C4 nerve roots. Supraclavicular nerve supplying the left shoulder shares the origin with phrenic nerve and, thus, pain is also referred to the left shoulder.…”

Section: Kehr Signmentioning

confidence: 99%