Splenic rupture following colonoscopy: two cases with CT findings.
*Tomography; Abdominal Pain/diagnostic imaging/etiology; Adult; Aged; Colonoscopy/*adverse effects; Female; Hemoperitoneum/diagnostic imaging/etiology/surgery; Hemorrhage/diagnostic imaging/etiology/surgery; Humans; Shoulder Pain/diagnostic imaging/etiology; Splenectomy; Splenic Rupture/*diagnostic imaging/*etiology/surgery; X-Ray Computed
Splenic injury following colonoscopy is extremely rare. We report a 75-year-old woman and a 35-year-old woman who presented to the emergency room with left upper quadrant and left shoulder pain following colonoscopy. Both patients were diagnosed by computed tomography (CT) with splenic injuries and hemoperitoneum. One patient was successfully managed conservatively, and one patient needed emergent open splenectomy. The possibility of splenic injury should be considered in post-colonoscopy patients with left upper quadrant or left shoulder pain.
Johnson Craig; Mader Michael; Edwards D Makana; Vesy Thomas
Emergency radiology
2006
2006-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s10140-006-0519-3" target="_blank" rel="noreferrer noopener">10.1007/s10140-006-0519-3</a>
Splenic rupture from colonoscopy. A report of two cases and review of the literature.
Colonoscopy/*adverse effects; Female; Follow-Up Studies; Humans; Middle Aged; Spleen/injuries; Splenectomy; Splenic Rupture/*etiology/surgery; Tomography; X-Ray Computed
Splenic injury after colonoscopy is rare. Only 15 cases previously have been reported in the English literature. Partial capsular avulsion is the proposed mechanism of injury. Any condition causing increased splenocolic adhesions may be a predisposing factor to splenic injury. Two cases of splenic injury following colonoscopy are reported in addition to a complete review of the literature.
Espinal E A; Hoak T; Porter J A; Slezak F A
Surgical endoscopy
1997
1997-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s004649900298" target="_blank" rel="noreferrer noopener">10.1007/s004649900298</a>