Splenic rupture after colonoscopy. A case report and review of the literature.
Rupture of the spleen after colonoscopy is a rare but dangerous complication; up to now only a few cases have been reported in the literature. This complication is more frequent in patients who have previously undergone abdominal surgery and after operative colonoscopies. This case report describes a 64-year-old man who complained of abdominal pain and dyspnoea some hours after a colonoscopy. Laboratory exams showed anaemia; the patient also developed hypotension and tachycardia; a CT scan revealed a splenic laceration with haemoperitoneum. A laparotomic splenectomy was successfully carried out.
Di Lecce
Francesco
F
SC di Chirurgia Generale, Azienda Ospedaliera Carlo Poma, Mantova.
Viganò
Paolo
P
Pilati
Stefano
S
Mantovani
Nicola
N
Togliani
Thomas
T
Pulica
Coriolano
C
D015746:Abdominal Pain / Q000209:etiology; D003113:Colonoscopy / Q000009:adverse effects*; D004417:Dyspnea / Q000209:etiology; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013161:Splenic Rupture / Q000150:complications / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D013610:Tachycardia / Q000209:etiology; D014057:Tomography, X-Ray Computed