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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Splenic Perforation Following Colonoscopy

Lakshmi Pasumarthy1, James Srour2

  • 1Department of Medicine, York Hospital, 1001 S. George St, York, PA 17405, USA.

Gastroenterology Research
|December 10, 2016
PubMed

Insights

Splenic perforation is a rare but serious complication of colonoscopy. Early recognition and appropriate management, ranging from observation to splenectomy, are crucial for patient outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Splenic perforation is an infrequent complication following colonoscopy.
  • Understanding risk factors and mechanisms is essential for prevention and management.

Observation:

  • The report reviews global literature on splenic perforation post-colonoscopy.
  • Four cases at the center included observation, repair, and splenectomy.

Findings:

  • Management strategies for splenic perforation vary based on severity.
  • Underreporting of this complication may occur.

Implications:

  • Highlights the need for heightened awareness of splenic injury during colonoscopy.
  • Informs clinical decision-making for managing post-colonoscopy splenic complications.
Keywords:
ColonoscopySplenic Perforation

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