Splenic injury as a rare complication of colonoscopy

Lewis, Susan; D, Ohio; Rowley, G. D.

doi:10.1136/emj.2008.061200

Cited by 10 publications

(7 citation statements)

References 2 publications

(1 reference statement)

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“…Following a Medline search using the keywords ‘splenic rupture’ and ‘colonoscopy’, 10 citations were reviewed for this discussion. The present case is an addition to a slowly growing library of reports of splenic rupture following colonoscopy, with just over 50 cases documented in the English literature 2 (Table 1). In many of the cases, there is often a delay of 24 h or more, making the diagnosis in an acutely unwell patient extremely difficult 3 .…”

Section: Discussionmentioning

confidence: 98%

Splenic Rupture Following Routine Colonoscopy

Rasul

Leung²,

McArdle

et al. 2010

Digestive Endoscopy

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Splenic rupture is a life-threatening condition characterized by internal hemorrhage, often difficult to diagnose. Colonoscopy is a gold standard routine diagnostic test to investigate patients with gastrointestinal symptoms as well as to those on the screening program for colorectal cancer. Splenic injury is seldomly discussed during consent for colonoscopy, as opposed to colonic perforation, as its prevalence accounts for less than 0.1%. A 66-year-old Caucasian woman with no history of collagen disorder was electively admitted for routine colonoscopy for surveillance of adenoma. She was admitted following the procedure for re-dosing of warfarin, which was stopped prior to the colonoscopy. The patient was found collapsed on the ward the following day with clinical shock and anemia. Computed tomography demonstrated grade 4 splenic rupture. Immediate blood transfusion and splenectomy was required. Splenic rupture following routine colonoscopy is extremely rare. Awareness of it on this occasion saved the patient's life. Despite it being a rare association, the seriousness warrants inclusion in all information leaflets concerning colonoscopy and during its consent.

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Section: Discussionmentioning

confidence: 98%

Splenic Rupture Following Routine Colonoscopy

Rasul

Leung²,

McArdle

et al. 2010

Digestive Endoscopy

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“…an der Milzkapsel [1,2,3,7]. Auch externer Druck und Manipulationen während der Koloskopie stellen einen prädisponierenden Faktor für eine Milzverletzung dar [5,6,8,11,12]. Diese Faktoren ließen sich auch für den vorliegenden Fallbericht in Form einer erschwerten Koloskopie und einer stattgehabten Laparotomie vor 30 Jahren feststellen.…”

Section: Diskussionunclassified

Milzruptur nach Vorsorgekoloskopie

Stauch

Dietrich

Bernhard

et al. 2010

Chirurg

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“…The other causes of febrile states include autoimmune diseases, collagenoses, in particular, neoplasms, diseases of the brain and cerebrospinal meninges, allergies, less commonly zoonoses and others [6,7,8]. Despite the advances in medical diagnostics, there is still a certain group of patients with fever, the cause of which remains unexplained [10].…”

Section: Introductionmentioning

confidence: 99%