Related Experiment Video
Updated: Jul 26, 2025
04:40
Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
Published on: November 4, 2022
1.1K
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
Summary
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.
Related Concept Videos
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
227
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...
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...
227
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
128
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...
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...
128
01:25Endoscopic Procedures II: Colonoscopy
139
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:
139