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Moderate Splenic Injury Caused by Colonoscopy

Kana Ayaki1, Masaaki Higashiyama1, Takuma Oguro1

  • 1Department of Internal Medicine, National Defense Medical College, Japan.

Internal Medicine (Tokyo, Japan)
|June 14, 2023
PubMed

Insights

Iatrogenic splenic injury (SI) after colonoscopy is rare but can be fatal. This case report highlights potential risk factors and emphasizes careful patient evaluation and gentle scope handling to prevent this serious adverse event.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Iatrogenic splenic injury (SI) is a rare but potentially fatal complication following colonoscopy.
  • Hemorrhage is a significant concern associated with SI.

Purpose of the Study:

  • To report a case of iatrogenic splenic injury (SI) after colonoscopy.
  • To identify potential risk factors and preventive measures for SI during colonoscopy.

Main Methods:

  • Case report of a patient who developed SI after colonoscopy.
  • Conservative management was employed for the patient's recovery.

Main Results:

  • The patient recovered conservatively from the iatrogenic splenic injury.
  • Left hydronephrosis and the use of a maximally stiffened colonoscope were suspected risk factors.

Conclusions:

  • Endoscopists should consider SI in patients with left-sided abdominal pain post-colonoscopy.
  • Thorough medical history review and gentle maneuvering, particularly around the splenic flexure, are crucial for prevention.
Keywords:
adverse eventscolonoscopyiatrogenicsplenic injury

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