Splenic Injury After a Colonoscopy: Threading the Scope Carefully in Heritable Connective Tissue Disorders.
| Autor: | Wiggins B; Internal Medicine, Ascension Genesys Hospital, Grand Blanc, USA., Lamarche C; School of Medicine, Michigan State University College of Human Medicine, East Lansing, USA., Gupta R; Internal Medicine/Pediatrics, Michigan State University, Flint, USA., Deliwala S; Internal Medicine, Michigan State University at Hurley Medical Center, Flint, USA., Minaudo M; Gastroenterology and Hepatology, Ascension Genesys Hospital, Grand Blanc, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Jun 04; Vol. 13 (6), pp. e15444. Date of Electronic Publication: 2021 Jun 04. |
| DOI: | 10.7759/cureus.15444 |
| Abstrakt: | Colonoscopies have reduced colorectal cancer (CRC) burden in the United States, and their utility has expanded to include various diagnostic and therapeutic indications. Complications are seen in up to 1% and increase with age and polypectomy. As colonoscopies become widespread, specific populations seem to be at a much higher risk; notably patients with heritable connective tissue disorders (HCTD). As life expectancy increases, these patients undergo routine screenings and require careful peri-endoscopic care to reduce adverse outcomes. Amongst HCTD, Ehlers-Danlos syndrome (EDS) is commonly implicated, however, no reports of Marfan syndrome (MS) exist. We present a unique case of splenic injury after colonoscopy in a patient with MS. Successful outcomes require early suspicion and emergent surgical evaluation in patients with hemodynamic instability after a colonoscopy. Increased ligament laxity and bowel fragility are the most likely mechanisms. Alternative CRC strategies like fecal immunochemical test (FIT), fecal occult, Cologuard, or virtual colonography can be considered. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Wiggins et al.) |
| Databáze: | MEDLINE |
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