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Splenic rupture following colonoscopy: two cases with CT findings

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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.

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References

  1. Wexner SD, Garbaus JE, Singh JJ (2001) A prospective analysis of 13,580 colonoscopies: reevaluation of credentialing guidelines. Surg Endosc 15:251–261

    Article  PubMed  CAS  Google Scholar 

  2. Olshaker JS, Deckleman C (1999) Delayed presentation of splenic rupture after colonoscopy. J Emerg Med 17:455–457

    Article  PubMed  CAS  Google Scholar 

  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 2851–2865

    Google Scholar 

  4. Macrac FA, Tark H, Williams CB (1983) Toward safer colonoscopy: a report on the complications of 5,000 diagnostic and therapeutic colonoscopies. Gut 24:376–383

    Article  Google Scholar 

  5. Weisgerber K, Lutz MP (2005) Splenic rupture after colonoscopy. Clin Gastroenterol Hepatol 3:A24

    Article  PubMed  Google Scholar 

  6. Wherry DC, Zehner H Jr (1974) Colonoscopic fiberoptic–endoscopic approach to the colon and polypectomy. Med Ann D C 43:189–192

    CAS  Google Scholar 

  7. Prowda JC, Trevisan SG, Lev-Toaff AS (2005) Splenic injury after colonoscopy: conservative management using CT. AJR Am J Roentgenol 185:708–710

    PubMed  Google Scholar 

  8. Janes SE, Cowan IA, Dijkstra B (2005) A life threatening complication after colonoscopy. BMJ 330:889–890

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Northeastern Ohio Universities College of Medicine–Canton Affiliated Hospitals, 2600 Sixth Street S.W., Canton, OH, 44710, USA

    Craig Johnson, Michael Mader & Thomas Vesy

  2. Northeastern Ohio Universities College of Medicine, 4209 State Route 44, Rootstown, OH, 44272, USA

    D. Makana Edwards

Authors
  1. Craig Johnson
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  2. Michael Mader
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  3. D. Makana Edwards
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  4. Thomas Vesy
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Corresponding author

Correspondence to Craig Johnson.

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None of the authors have a conflict of interest with any product presented in this manuscript.

This manuscript has received a waiver by the hospital IRB committee.

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Johnson, C., Mader, M., Edwards, D.M. et al. Splenic rupture following colonoscopy: two cases with CT findings. Emerg Radiol 13, 47–49 (2006). https://doi.org/10.1007/s10140-006-0519-3

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  • DOI: https://doi.org/10.1007/s10140-006-0519-3

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