Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
Autor: | Venkata Kella, Charbel Ishak, Chukwunonso Chime, Sridhar Chilimuri, Kishore Kumar |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
History
medicine.medical_specialty Abdominal pain Splenic trauma Polymers and Plastics medicine.medical_treatment Splenectomy Colonoscopy Case Report Industrial and Manufacturing Engineering 03 medical and health sciences 0302 clinical medicine Medicine Business and International Management lcsh:RC799-869 Abdominal adhesions medicine.diagnostic_test business.industry Extravasation Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology Hemodynamic stability medicine.symptom business |
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 |
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