Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions

Autor: Venkata Kella, Charbel Ishak, Chukwunonso Chime, Sridhar Chilimuri, Kishore Kumar
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Gastrointestinal Medicine
Case Reports in Gastrointestinal Medicine, Vol 2018 (2018)
ISSN: 2090-6536
2090-6528
Popis: Splenic rupture following colonoscopy is rare, first reported in 1974, with incidence of 1–21/100,000. It is critical to anticipate splenic trauma during colonoscopy as one of the causes of abdominal pain after colonoscopy especially when located in the left upper quadrant or left shoulder. Postoperative adhesions is a predisposing factor for splenic injury, and management is either operative or nonoperative, based on hemodynamic stability and/or extravasation which can be seen on contrast-enhanced CT scan of the abdomen. We present a case of a splenic rupture after colonoscopy in a patient with splenocolic adhesions, requiring splenectomy as definite treatment.
Databáze: OpenAIRE