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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:
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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.
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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.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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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.
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Esophageal Varices-I: Introduction01:24

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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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Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke·2022
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Updated: Sep 17, 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

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Splenic rupture after colonoscopy.

Stine Moen1, Maria Vågsether2, Grethe Bjerk3

  • 1Radiologisk avdeling, Ringerike sykehus, Hønefoss.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 27, 2025
PubMed
Summary
This summary is machine-generated.

Splenic trauma, a rare complication of colonoscopy, can be fatal. Prompt recognition of abdominal pain and hemodynamic instability post-colonoscopy is crucial for timely diagnosis and management of splenic injury.

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Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Colonoscopy is increasingly utilized for colorectal cancer screening and diagnosis.
  • Splenic trauma is an uncommon but severe complication associated with colonoscopy procedures.

Purpose of the Study:

  • To highlight the potential for splenic injury as a complication of colonoscopy.
  • To emphasize the importance of recognizing this rare event in clinical practice.

Main Methods:

  • A case presentation of a 74-year-old female patient who developed splenic trauma after colonoscopy.
  • Diagnostic workup included CT scan of the abdomen and pelvis with intravenous contrast.

Main Results:

  • The patient presented with abdominal pain, decreased hemoglobin, and signs of hypovolemia post-colonoscopy.
  • CT scan revealed a splenic hematoma and hemoperitoneum, necessitating surgical intervention.

Conclusions:

  • Splenic injury is a rare but life-threatening complication of colonoscopy.
  • Clinical suspicion for splenic injury should be high in patients with abdominal pain and hemodynamic instability after colonoscopy.