An uncommon complication of a common procedure

Ranganath, Ramakrishnan; Selinger, Stephen

doi:10.1136/pgmj.2008.075135

Cited by 4 publications

(2 citation statements)

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“…There is usually abdominal pain, which is generalized or localized to the left upper quadrant [1, 2, 4–15]. Pain may also be felt in the left shoulder or left chest [4, 5, 7, 9–13, 15]. Abdominal examination generally reveals abdominal distention [1, 2, 8, 11, 13].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of previously reported cases were managed by splenectomy [1, 2, 4, 6–8, 10–12, 14]. Patients that are hemodynamically stable can be managed successfully with conservative treatment consisting of observation, IV fluids, and blood transfusions as needed [5, 13]. However, a number of such cases will need surgical intervention [4, 7, 9, 11].…”

Section: Discussionmentioning

confidence: 99%

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Acute Colonoscopy-Induced Splenic Rupture Presenting to the Emergency Department

Chow

Shih

2013

Case Reports in Emergency Medicine

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Splenic rupture due to colonoscopy is a rarely reported event in the emergency medicine literature. Patients experiencing such an occurrence are likely to report to the emergency department. This paper documents an 84-year-old female who presented to the emergency department with abdominal pain and nausea less than 24 hours following a colonoscopy. An abdominal ultrasound revealed splenomegaly and free fluid. An abdominal computed tomography was significant for a splenic laceration. She underwent radiologic guided embolization and recovered without incident. Emergency medicine physicians need to consider splenic rupture as a differential in patients presenting after colonoscopy with abdominal pain.

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