Iatrogenic Severe Splenic Injury after Colonoscopy

Enofe, Ikponmwosa; Burch, Jacob; Yam, Julie; Manoj, P

doi:10.1155/2020/8824720

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…Colonoscopies have become a routine medical procedure, recommended for most adults over 45 years old in the United States [ 1 ]. Splenic laceration [ 2 ], subcapsular hematoma [ 3 ], and complete splenic rupture [ 4 ], while uncommon [ 5 ], have been reported in the literature and associated with high morbidity [ 6 ]. The most commonly reported symptom for patients experiencing these complications is abdominal pain which may be non-specific and not contained to the left upper quadrant.…”

Section: Introductionmentioning

confidence: 99%

Splenic Injury: A Curious Complication of Colonoscopy

Suarez¹,

Hernandez²,

Diaz³

et al. 2023

Cureus

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Colonoscopies are generally considered a safe procedure with an overall complication rate of 0.5%. Splenic injuries, including laceration, subcapsular hematoma, and rupture, have been thought to be underreported in the currently available literature. The etiology of splenic injury remains unknown, although excessive splenocolic ligament stretching and traction of adhesions have been hypothesized to play a role in its development. Even though conservative, percutaneous, and surgical strategies have been described in the literature, these strategies have been associated with higher mortality, and there is no consensus on the optimal approach to management. We present the case of a patient who sustained a splenic injury after a colonoscopy and was successfully managed with conservative measures.

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Section: Introductionmentioning

confidence: 99%

Splenic Injury: A Curious Complication of Colonoscopy

Suarez¹,

Hernandez²,

Diaz³

et al. 2023

Cureus

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Delayed splenic rupture 4 months following minor blunt abdominal trauma

Chatzipetrou¹,

Tzanakis²,

Giannopoulos³

et al. 2021

Glob J Rare Dis

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Splenic Capsule Injury: A Rare Complication of Sigmoid Volvulus

Miftari¹,

Gazzetta²

2023

Cureus

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Sigmoid volvulus can lead to life-threatening complications. We report a splenic capsule avulsion injury requiring laparotomy as a complication of sigmoid volvulus. A 73-year-old woman was admitted with abdominal distension, rigidity, and tenderness. CT abdomen revealed a splenic injury and hemoperitoneum along with possible sigmoid volvulus. The patient required an emergent exploratory laparotomy due to an acute abdomen and hemodynamic instability. A left colectomy, on-table sigmoidoscopy, hemostasis of the spleen, and temporary abdominal closure were performed. She required subsequent operations for end colostomy and abdominal closure. We establish that splenic lacerations are rare but life-threatening complications of sigmoid volvulus. Careful assessment of the spleen on abdominal imaging and clear visualization of the spleen during sigmoid volvulus surgery is recommended for early recognition and prompt management of splenic injury.

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Iatrogenic Severe Splenic Injury after Colonoscopy

Cited by 3 publications

References 11 publications

Splenic Injury: A Curious Complication of Colonoscopy

Splenic Injury: A Curious Complication of Colonoscopy

Delayed splenic rupture 4 months following minor blunt abdominal trauma

Splenic Capsule Injury: A Rare Complication of Sigmoid Volvulus

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