Splenic Hematoma as a Rare Complication of Colonoscopy; a Case Report
Archives of Academic Emergency Medicine,
Vol. 8 No. 1 (2020),
7 January 2020
Abstract: Splenic injuries after colonoscopy are an uncommon complication, which can lead to potentially unfortunate outcomes. Their management depends on the type of the splenic damage (hematomas, lacerations, rupture). We describe the case of a woman who visited the Emergency Department due to abdominal pain and pre-syncopal condition, which had occurred 12 hours after she underwent a colonoscopy. An abdominal computed tomography scan showed a splenic hematoma and a hemoperitoneum. An emergency splenectomy was performed successfully. Emergency physicians, who are at the forefront of diagnosing and treating patients, should consider this post-endoscopic complication in order to implement a prompt treatment.
- computed tomography
- splenic rupture
How to Cite
Wherry D. Colonoscopy-fiberoptic endoscopic approach to the colon and polypectomy. Med Ann Dist Columbia. 1974;43:189-92.
Telmos A, Mittal V. Splenic rupture following colonoscopy. JAMA. 1977;237(25):2718-.
Patel DD, Shih DC, Terry SM. Splenic trauma from colonoscopy: A case series. International Journal of Surgery Case Reports. 2020;71:30-3.
Dziadkowiec KN, Stawinski PM, Radadiya D, Katz A. Left Shoulder Pain After Routine Colonoscopy: An Unusual Presentation of Splenic Laceration. Cureus. 2020;12(4):e7755.
Kozar RA, Crandall M, Shanmuganathan K, Zarzaur BL, Coburn M, Cribari C, et al. Organ injury scaling 2018 update: spleen, liver, and kidney. Journal of Trauma and Acute Care Surgery. 2018;85(6):1119-22.
Jehangir A, Poudel DR, Masand-Rai A, Donato A. A systematic review of splenic injuries during colonoscopies: Evolving trends in presentation and management. International Journal of Surgery. 2016;33:55-9.
Ullah W, Rashid MU, Mehmood A, Zafar Y, Hussain I, Sarvepalli D, et al. Splenic injuries secondary to colonoscopy: Rare but serious complication. World Journal of Gastrointestinal Surgery. 2020;12(2):55-67.
Chow BL, Zia K. Postcolonoscopy splenic rupture: the under-reporting of an unpropitious phenomena? BMJ Case Reports CP. 2019;12(9):e231047.
Barbeiro S, Atalaia-Martins C, Marcos P, Nobre J, Gonçalves C, Aniceto C. Splenic rupture as a complication of colonoscopy. GE-Portuguese Journal of Gastroenterology. 2017;24(4):188-92.
- Abstract Viewed: 32 times
- pdf Downloaded: 20 times