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Splenic Laceration: A Rare Complication of Colonoscopy
Shujaa Faryad1, Mirza S Ali1, Habiba Hussain1
1Pulmonary and Critical Care Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA.
Cureus
|June 6, 2022
Summary
Splenic injury, a rare colonoscopy complication, can occur due to intra-abdominal adhesions from prior surgery. Early detection and intervention led to a positive outcome in this outpatient case.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Trauma
Background:
- Splenic injury is typically associated with abdominal trauma.
- It is an infrequent but serious complication of colonoscopy.
- Patient and procedural factors can elevate the risk of splenic injury.
Observation:
- A case of splenic injury following outpatient colonoscopy is presented.
- Intra-abdominal adhesions from previous surgeries were identified as the likely cause.
- The patient experienced improved outcomes with prompt diagnosis and management.
Findings:
- Colonoscopy can lead to splenic injury, particularly in patients with abdominal adhesions.
- Timely diagnosis and intervention are crucial for managing this complication.
- Previous abdominal surgeries may predispose patients to splenic injury during colonoscopy.
Implications:
- Highlights the importance of considering splenic injury in patients with a history of abdominal surgery undergoing colonoscopy.
- Emphasizes the need for vigilance and prompt management of post-colonoscopy splenic injury.
- Suggests that pre-procedural assessment for adhesions could be beneficial in select patients.
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