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Vol. 8 No. 1 (2020)

Dey 2020

Splenic Hematoma as a Rare Complication of Colonoscopy; a Case Report

  • Maddalena Zippi
  • Roberta Pica
  • Ingrid Febbraro
  • Francesco Rocco Pugliese
  • Francesca Liguori

Archives of Academic Emergency Medicine, Vol. 8 No. 1 (2020), 1 Dey 2020 , Page e84
https://doi.org/10.22037/aaem.v8i1.925 Published: 2020-10-25

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Abstract

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.

Keywords:
  • computed tomography
  • colonoscopy
  • splenic rupture
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How to Cite

1.
Zippi M, Pica R, Febbraro I, Pugliese FR, Liguori F. Splenic Hematoma as a Rare Complication of Colonoscopy; a Case Report . Arch Acad Emerg Med [Internet]. 2020 Oct. 25 [cited 2026 Jul. 7];8(1):e84. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/925
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References

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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.

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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.

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