Shock due to Splenic Injury after Colonoscopy
| Autor: | Reinier de Groot, Erol G. Nallayici, Martijn F. Lutke Holzik, René A.A. van Zanten |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Haematoma medicine.medical_treatment Splenectomy Single Case Colonoscopy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Laparotomy Splenocolic ligament medicine Performed Procedure lcsh:RC799-869 Rupture medicine.diagnostic_test business.industry Gastroenterology Venous blood Splenic injury Surgery lcsh:Diseases of the digestive system. Gastroenterology Radiology medicine.symptom Complication business 030217 neurology & neurosurgery |
| Zdroj: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 11, Iss 1, Pp 127-133 (2017) |
| ISSN: | 1662-0631 |
| Popis: | Colonoscopy is a common and increasingly performed procedure. It is used both as a diagnostic and therapeutic modality. Splenic injury after colonoscopy is a rare, yet life-threatening complication, most often caused by traction on the splenocolic ligament or excessive manipulation during the procedure. Although non-operative treatment is preferred upon splenic injury, early surgical or radiological intervention may be necessary in specific cases, for example in case of haemodynamic instability. A 71-year-old Caucasian man was referred to our emergency room due to shock after colonoscopy 2 days earlier. A computed tomography scan showed splenic rupture with active intra-abdominal, venous blood loss, and microperforation of the colon. An immediate splenectomy and colon repair were performed through laparotomy. After 6 days, the patient was discharged from hospital in good health. Although splenic rupture is a rare complication of colonoscopy, patients with abdominal pain and/or shock should be checked for complications such as splenic injury and colon perforation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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