Emergency Radiology

, Volume 13, Issue 1, pp 47–49 | Cite as

Splenic rupture following colonoscopy: two cases with CT findings

  • Craig Johnson
  • Michael Mader
  • D. Makana Edwards
  • Thomas Vesy
Case Report
First Online:
Received:
Accepted:

Abstract

Splenic injury following colonoscopy is extremely rare. We report a 75-year-old woman and a 35-year-old woman who presented to the emergency room with left upper quadrant and left shoulder pain following colonoscopy. Both patients were diagnosed by computed tomography (CT) with splenic injuries and hemoperitoneum. One patient was successfully managed conservatively, and one patient needed emergent open splenectomy. The possibility of splenic injury should be considered in postcolonoscopy patients with left upper quadrant or left shoulder pain.

Keywords

Colonoscopy Splenic rupture Hemoperitoneum Computed tomography 
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References

  1. 1.
    Wexner SD, Garbaus JE, Singh JJ (2001) A prospective analysis of 13,580 colonoscopies: reevaluation of credentialing guidelines. Surg Endosc 15:251–261PubMedCrossRefGoogle Scholar
  2. 2.
    Olshaker JS, Deckleman C (1999) Delayed presentation of splenic rupture after colonoscopy. J Emerg Med 17:455–457PubMedCrossRefGoogle Scholar
  3. 3.
    Waye JD, Williams, CB (2003) Colonoscopy and flexible sigmoidoscopy. In: Yamada T (ed) Textbook of Gastroenterology, 4th edn. Lippincott Williams and Wilkins, Philadelphia, pp 2851–2865Google Scholar
  4. 4.
    Macrac FA, Tark H, Williams CB (1983) Toward safer colonoscopy: a report on the complications of 5,000 diagnostic and therapeutic colonoscopies. Gut 24:376–383CrossRefGoogle Scholar
  5. 5.
    Weisgerber K, Lutz MP (2005) Splenic rupture after colonoscopy. Clin Gastroenterol Hepatol 3:A24PubMedCrossRefGoogle Scholar
  6. 6.
    Wherry DC, Zehner H Jr (1974) Colonoscopic fiberoptic–endoscopic approach to the colon and polypectomy. Med Ann D C 43:189–192Google Scholar
  7. 7.
    Prowda JC, Trevisan SG, Lev-Toaff AS (2005) Splenic injury after colonoscopy: conservative management using CT. AJR Am J Roentgenol 185:708–710PubMedGoogle Scholar
  8. 8.
    Janes SE, Cowan IA, Dijkstra B (2005) A life threatening complication after colonoscopy. BMJ 330:889–890PubMedCrossRefGoogle Scholar

Copyright information

© Am Soc Emergency Radiol 2006

Authors and Affiliations

  • Craig Johnson
    • 1
  • Michael Mader
    • 1
  • D. Makana Edwards
    • 2
  • Thomas Vesy
    • 1
  1. 1.Department of Diagnostic RadiologyNortheastern Ohio Universities College of Medicine–Canton Affiliated HospitalsCantonUSA
  2. 2.Northeastern Ohio Universities College of MedicineRootstownUSA

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