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Case Reports
. 2013 Jun 16:2013:bcr2013009286.
doi: 10.1136/bcr-2013-009286.

Is non-operative management feasible for splenic injury due to colonoscopy?

Ali Guner  1 , Umit Kaya, Can Kece, Uzer Kucuktulu
Affiliations
Case Reports

Is non-operative management feasible for splenic injury due to colonoscopy?

Ali Guner et al. BMJ Case Rep. .

Abstract

Colonoscopy is a widely used diagnostic and therapeutic procedure. While it is a relatively safe procedure, there is a risk of some complications. Splenic injury after colonoscopy is a very rare but a life-threatening complication; around 105 cases have been reported in the literature so far. Owing to the rarity of this complication, no management standards were defined. In the literature, most of the patients were managed with operative intervention and less frequently with observation. We report a case of splenic injury and massive hemoperitoneum due to colonoscopy treated non-operatively.

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Figures

Figure 1
Figure 1
X-Ray radiograph shows dilated transverse colon and no intra-abdominal free air.
Figure 2
Figure 2
Two sections of CT scan show massive intra-abdominal fluid and subcapsular splenic haematoma.
Figure 3
Figure 3
CT scan views of the patient 1 month (A) and 6 month (B) later.
See this image and copyright information in PMC

References

    1. Fisher DA, Maple JT, Ben-Menachem T, et al. ASGE Standards of Practice Committee Complications of colonoscopy. Gastrointest Endosc 2011;2013:745–52 - PubMed
    1. Singla S, Keller D, Thirunavukarasu P, et al. Splenic injury during colonoscopy—a complication that warrants urgent attention. J Gastrointest Surg 2012;2013:1225–34 - PubMed
    1. Michetti CP, Smeltzer E, Fakhry SM. Splenic injury due to colonoscopy: analysis of the world literature, a new case report, and recommendations for management. Am Surg 2010;2013:1198–204 - PubMed
    1. Shankar S, Rowe S. Splenic injury after colonoscopy: case report and review of literature. Ochsner J 2011;2013:276–81 - PMC - PubMed
    1. Crispin A, Birkner B, Munte A, et al. Process quality and incidence of acute complications in a series of more than 230,000 outpatient colonoscopies. Endoscopy 2009;2013:1018–25 - PubMed

Publication types