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Splenic injury during colonoscopy.

P F Gores1, L A Simso

  • 1Department of Surgery, University of Minnesota Medical School, Minneapolis.

Archives of Surgery (Chicago, Ill. : 1960)
|November 1, 1989
PubMed
Summary
This summary is machine-generated.

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Flexible fiberoptic colonoscopy can rarely cause splenic injury, necessitating splenectomy. Early diagnosis of this rare complication is crucial, aided by awareness of the potential for injury during the procedure.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Diagnostic Imaging

Background:

  • Colonoscopy is a common endoscopic procedure for colorectal examination.
  • Injuries to organs outside the colon during colonoscopy are infrequent but can be severe.
  • Splenic injury is a rare but documented complication of colonoscopy.

Observation:

  • A case of splenic injury occurred during flexible fiberoptic colonoscopy.
  • The injury necessitated an urgent splenectomy.
  • Delayed diagnosis is common for non-colonic injuries during colonoscopy.

Findings:

  • The presumed mechanism involves excessive traction on the splenocolic ligament or adhesions, leading to splenic capsular tears.
  • Computed tomography can aid in diagnosis.

Related Experiment Videos

  • Awareness of this potential complication is key for early detection.

    • Implications:

    • Clinicians should consider splenic injury in patients with abdominal symptoms post-colonoscopy.
    • Prompt diagnosis and surgical intervention (splenectomy) are vital for managing splenic trauma.
    • Enhanced awareness and vigilance can improve patient outcomes for rare colonoscopy-related injuries.