Infective endocarditis and infected aneurysm of splenic artery post colonoscopy
Yeng Kwang Tay1, Jia Yin Tay2, Niyaz Naqash1
1Department of Upper Gastrointestinal Surgery, Southern Helath (Yeng Kwang Tay, Niyaz Naqash, Paul Cashin).
Abstract:
Colonoscopy, a relatively non-invasive procedure, has been associated with several complications including perforation, hemorrhage and abdominal pain. Post-colonoscopy bacteremia can occur up to 4.4% of the time but is almost always transient without significant clinical sequelae. Post-colonoscopy infective endocarditis, on the other hand, is a rare occurrence associated with high rates of mortality and morbidity, and may be further complicated by aneurysm of splenic artery. Current definitive treatment of infected aneurysm is surgical ligation and excision with or without vascular anastomosis. If surgery is contraindicated, endovascular graft and transcatheter embolization may be the preferred treatment options. This is a case report of infective endocarditis and infected aneurysm of splenic artery presenting two weeks after elective colonoscopy.
Insights
Post-colonoscopy infective endocarditis is a rare but serious complication. This case report highlights a rare instance of infective endocarditis and splenic artery aneurysm following a colonoscopy.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Vascular Surgery
Background:
- Colonoscopy is a common procedure with known risks like perforation and hemorrhage.
- Post-colonoscopy bacteremia is usually transient, but rare cases of infective endocarditis can occur.
- Splenic artery aneurysms are uncommon complications that can be infected.
Observation:
- A patient developed infective endocarditis and an infected splenic artery aneurysm two weeks after an elective colonoscopy.
- The patient's presentation was a rare sequela of the common endoscopic procedure.
Findings:
- Infective endocarditis following colonoscopy can lead to severe complications like splenic artery aneurysm.
- Treatment options for infected aneurysms include surgical ligation/excision or endovascular methods.
- This case underscores the importance of considering rare infectious complications after colonoscopy.
Implications:
- Healthcare providers should be aware of the potential for rare but severe complications like infective endocarditis and vascular aneurysms after colonoscopy.
- Prompt diagnosis and appropriate management are crucial for improving patient outcomes in such cases.
- Further research may be needed to understand the mechanisms and risk factors for these rare post-colonoscopy complications.
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