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

Autor:	Chukwunonso Chime, Charbel Ishak, Kishore Kumar, Venkata Kella, Sridhar Chilimuri
Jazyk:	angličtina
Rok vydání:	2018
Předmět:	Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Case Reports in Gastrointestinal Medicine, Vol 2018 (2018)
Druh dokumentu:	article
ISSN:	2090-6528 2090-6536
DOI:	10.1155/2018/4879413
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:	Directory of Open Access Journals
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