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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
162
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

117
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
117
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

237
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Related Experiment Video

Updated: Aug 9, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

266

Splenic Rupture Following Colonoscopy.

Nehal Ninad1, Macie Edwards2, Ashley Jones1

  • 1Department of Surgery, Atrium Health Navicent, Macon GA, USA.

The American Surgeon
|February 17, 2023
PubMed
Summary
This summary is machine-generated.

Splenic rupture following colonoscopy (SRFC) is a rare but serious complication. This case highlights successful conservative management, emphasizing clinical assessment for treatment decisions.

Keywords:
colonoscopygeneral surgerysplenic rupture

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Emergency Medicine

Background:

  • Splenic rupture following colonoscopy (SRFC) is a rare but potentially fatal complication.
  • Most reported cases of SRFC are managed surgically.
  • Prompt diagnosis and management are crucial to prevent mortality.

Observation:

  • A 75-year-old female presented with symptoms suggestive of splenic rupture post-colonoscopy.
  • The patient's clinical status and hemodynamics were closely monitored.
  • Conservative management was initiated for the splenic rupture.

Findings:

  • Conservative management can be a viable option for select cases of splenic rupture following colonoscopy.
  • Careful patient selection and monitoring are key to successful non-operative treatment.
  • SRFC should be considered in patients with abdominal pain and hemodynamic instability after colonoscopy.

Implications:

  • This case expands the understanding of management options for SRFC.
  • Highlights the importance of considering non-operative approaches in hemodynamically stable patients.
  • Emphasizes the need for individualized treatment strategies based on patient condition and available resources.