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

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...

Full description

Bibliographic Details
Main Authors: Chukwunonso Chime, Charbel Ishak, Kishore Kumar, Venkata Kella, Sridhar Chilimuri
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2018/4879413
id doaj-ddda89b545b34dc08f18e55bb0a4fb13
record_format Article
spelling doaj-ddda89b545b34dc08f18e55bb0a4fb132020-11-24T23:26:11ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/48794134879413Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal AdhesionsChukwunonso Chime0Charbel Ishak1Kishore Kumar2Venkata Kella3Sridhar Chilimuri4Bronx Care Hospital Health System, Affiliate of Icahn School of Medicine at Mount Sinai, New York, NY, USABronx Care Hospital Health System, Affiliate of Icahn School of Medicine at Mount Sinai, New York, NY, USABronx Care Hospital Health System, Affiliate of Icahn School of Medicine at Mount Sinai, New York, NY, USABronx Care Hospital Health System, Affiliate of Icahn School of Medicine at Mount Sinai, New York, NY, USABronx Care Hospital Health System, Affiliate of Icahn School of Medicine at Mount Sinai, New York, NY, USASplenic 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.http://dx.doi.org/10.1155/2018/4879413
collection DOAJ
language English
format Article
sources DOAJ
author Chukwunonso Chime
Charbel Ishak
Kishore Kumar
Venkata Kella
Sridhar Chilimuri
spellingShingle Chukwunonso Chime
Charbel Ishak
Kishore Kumar
Venkata Kella
Sridhar Chilimuri
Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
Case Reports in Gastrointestinal Medicine
author_facet Chukwunonso Chime
Charbel Ishak
Kishore Kumar
Venkata Kella
Sridhar Chilimuri
author_sort Chukwunonso Chime
title Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
title_short 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_sort splenic trauma during colonoscopy: the role of intra-abdominal adhesions
publisher Hindawi Limited
series Case Reports in Gastrointestinal Medicine
issn 2090-6528
2090-6536
publishDate 2018-01-01
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.
url http://dx.doi.org/10.1155/2018/4879413
work_keys_str_mv AT chukwunonsochime splenictraumaduringcolonoscopytheroleofintraabdominaladhesions
AT charbelishak splenictraumaduringcolonoscopytheroleofintraabdominaladhesions
AT kishorekumar splenictraumaduringcolonoscopytheroleofintraabdominaladhesions
AT venkatakella splenictraumaduringcolonoscopytheroleofintraabdominaladhesions
AT sridharchilimuri splenictraumaduringcolonoscopytheroleofintraabdominaladhesions
_version_ 1725555921685315584

Similar Items