First splenic rupture following an endoscopic esophageal myotomy: A case report
| Autor: | Chadi Aboudan, Maude Pichette, Thibaut Maniere, Nancy Deslauriers, Eric Bergeron |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Myotomy
medicine.medical_specialty medicine.medical_treatment POEM Achalasia Colonoscopy Splenic rupture 03 medical and health sciences 0302 clinical medicine Case report Medicine Heller myotomy medicine.diagnostic_test business.industry medicine.disease Endoscopic Procedure Surgery Endoscopy medicine.anatomical_structure 030220 oncology & carcinogenesis Ligament 030211 gastroenterology & hepatology Complication business |
| Zdroj: | World Journal of Gastrointestinal Endoscopy |
| ISSN: | 1948-5190 |
| Popis: | Background The occurrence of splenic rupture is extremely rare during an upper gastro-intestinal endoscopy. Although infrequent, splenic rupture is a known complication secondary to colonoscopy. However, occurrence of splenic rupture after peroral endoscopic myotomy (POEM) has never been reported to date. Case summary We describe a case of a splenic rupture following a POEM for recurrent achalasia in a patient who previously had a Heller myotomy. Splenic rupture remains very uncommon after an upper gastro-intestinal endoscopic procedure. The most plausible cause for this rare splenic injury appears to be the stretching of the gastro-splenic ligament during the endoscopy. A previous surgery may be a risk factor contributing to this complication. Conclusion The possibility for the occurrence of specific complications, such as splenic rupture, does exist even with the development of advanced endoscopic procedures, as presented in the present case after POEM. |
| Databáze: | OpenAIRE |
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