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Case Reports
. 2019 Jan 10;13(1):6-11.
doi: 10.1159/000494917. eCollection 2019 Jan-Apr.

Splenic Injury with Subsequent Pleural Effusion: An Underreported Complication of Colonoscopy

Idrees Suliman  1 , John Guirguis  1 , Iryna Chyshkevych  1 , Nemer F Dabage  1
Affiliations
Case Reports

Splenic Injury with Subsequent Pleural Effusion: An Underreported Complication of Colonoscopy

Idrees Suliman et al. Case Rep Gastroenterol. .

Abstract

Colorectal cancer is a leading cause of morbidity and mortality worldwide. As such, there are recognized guidelines in the screening of this preventable cancer. There are differences in opinion regarding screening recommendations between the European and United States Cancer Prevention Societies. Screening colonoscopy is an option for routine screening for colorectal cancer in asymptomatic adults. It is a day procedure that is conducted both in hospital and specialized outpatient endoscopy suites. Serious harm is in the region of 3 per 1,000 examinations [Am J Gastroenterol. 2016 Aug; 111(8): 1092-101]. Splenic injury is a rare complication of colonoscopy whose frequency is unclear. Conservative management of splenic injury is desirable in order to preserve immunocompetence. We present a case in which a previously healthy 59-year-old female developed a splenic injury and later pleural effusion after screening colonoscopy.

Keywords: Colonoscopy; Colorectal cancer; Splenic injury.

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Figures

Fig. 1
Fig. 1
Coronal view. CT of the abdomen and pelvis showing a perisplenic hematoma.
Fig. 2
Fig. 2
Portable AP chest X-ray showing near complete opacification of the left hemidiaphragm.
See this image and copyright information in PMC

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