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Related Experiment Video

Updated: May 22, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Splenic decapsulation after gastroscopy.

Ismael Fuchs¹, Rudolf Schrittwieser, Josef Tauss

¹Department of General Surgery, LKH Bruck/Mur, Tragösserstraße 1, 8600, Bruck/Mur, Austria.

Wiener Klinische Wochenschrift

|April 25, 2012

Summary

This summary is machine-generated.

Spleen complications can occur after elective procedures. A gastroscopy, used for diagnosing abdominal pain, may lead to spleen decapsulation and bleeding.

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Last Updated: May 22, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Area of Science:

Gastroenterology
Surgical Complications
Abdominal Imaging

Background:

Elective procedures carry risks, including rare but severe splenic complications.
Sanguineous splenic complications are a serious concern across all age groups.
Diagnostic procedures for abdominal pain require careful consideration of potential iatrogenic effects.

Observation:

A patient with a history of laparoscopic appendectomy presented with epigastric pain.
Gastroscopy was performed as a diagnostic procedure for the epigastric pain.
The patient subsequently developed a sanguineous splenic complication.

Findings:

The gastroscopy procedure is retrospectively implicated in the spleen's decapsulation.
This case highlights a potential, albeit uncommon, complication of diagnostic gastroscopy.
Iatrogenic splenic injury following gastroscopy is a critical consideration.

Implications:

Clinicians should be aware of the potential for splenic injury during gastroscopy.
Further research may be warranted to elucidate the mechanism of gastroscopy-induced splenic decapsulation.
Enhanced vigilance during and after endoscopic procedures may prevent severe splenic complications.