Splenic injuries secondary to colonoscopy: Rare but serious complication

World Journal of Gastrointestinal Surgery
Waqas UllahMuhammad Khalid Hasan

Abstract

Colonoscopy is a safe and routine diagnostic and therapeutic procedure for evaluation of large bowel diseases. Most common procedure related complications include bleeding and perforation but rarely a splenic Injury. To investigate the reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients. A structured search on four databases was done and 45 articles with 68 patients were selected. The reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients were identified and analyzed using SPSS. The mean age of the patients was 62.7 years with 64% females. Twenty two percent had a complete splenic rupture with colonoscopy while 63% had subcapsular hematoma, spleen laceration and spleen avulsion. The most common reason for colonoscopy was screening (46%) followed by diagnostic colonoscopy (28%). Eighty seven percent of patients presented with abdominal pain. Patients with spleen rupture mostly required splenectomy (47%), while minor spleen hematomas and lacerations were managed conservatively (38%). Six percent of the patients were managed with proximal splenic artery splenic embolization an...Continue Reading

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Citations

Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Michael Berkenbush, Danielle Biggs
Oct 24, 2020·Curēus·Beatrice D'OrazioGirolamo Geraci
Mar 4, 2021·The American Journal of Gastroenterology·Aasma ShaukatDouglas K Rex

Jul 18, 2020·La Revue de médecine interne·J ColinP Le Borgne
May 19, 2021·Revista de gastroenterología de México·J Rodríguez PridaC E Ramírez Baum
Jul 3, 2021·Revista De Gastroenterología De México·J Rodríguez PridaC E Ramírez Baum

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