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Splenic Trauma during Colonoscopy: The Role of Intra-Abdominal Adhesions
Chukwunonso Chime1, Charbel Ishak1, Kishore Kumar1
1Bronx Care Hospital Health System, Affiliate of Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Abstract:
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.
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