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

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. Postoper...

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Autores principales: Chime, Chukwunonso, Ishak, Charbel, Kumar, Kishore, Kella, Venkata, Chilimuri, Sridhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976928/
https://www.ncbi.nlm.nih.gov/pubmed/29862094
http://dx.doi.org/10.1155/2018/4879413
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author Chime, Chukwunonso
Ishak, Charbel
Kumar, Kishore
Kella, Venkata
Chilimuri, Sridhar
author_facet Chime, Chukwunonso
Ishak, Charbel
Kumar, Kishore
Kella, Venkata
Chilimuri, Sridhar
author_sort Chime, Chukwunonso
collection PubMed
description 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.
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spelling pubmed-59769282018-06-03 Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions Chime, Chukwunonso Ishak, Charbel Kumar, Kishore Kella, Venkata Chilimuri, Sridhar Case Rep Gastrointest Med Case Report 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. Hindawi 2018-05-15 /pmc/articles/PMC5976928/ /pubmed/29862094 http://dx.doi.org/10.1155/2018/4879413 Text en Copyright © 2018 Chukwunonso Chime et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chime, Chukwunonso
Ishak, Charbel
Kumar, Kishore
Kella, Venkata
Chilimuri, Sridhar
Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title_full Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title_fullStr Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title_full_unstemmed Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title_short Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title_sort splenic trauma during colonoscopy: the role of intra-abdominal adhesions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976928/
https://www.ncbi.nlm.nih.gov/pubmed/29862094
http://dx.doi.org/10.1155/2018/4879413
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