Splenic Injury Following Colonoscopy: A Case Report

Introduction: Colonoscopy is a commonly performed outpatient procedure with a low risk of complications. The most common complications seen in the postoperative period include hemorrhage and perforation. Infrequently, splenic injury can occur. Case Report: A 72-year-old male presented with a one-day...

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Autores principales:	Jason Wang, Heesun Choi, John Ashurst
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/73906d553f0d438fa2a0e22b6e31a667
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spelling	oai:doaj.org-article:73906d553f0d438fa2a0e22b6e31a6672021-11-23T20:02:52ZSplenic Injury Following Colonoscopy: A Case Report2474-252X10.5811/cpcem.2021.2.50676https://doaj.org/article/73906d553f0d438fa2a0e22b6e31a6672021-11-01T00:00:00Zhttps://escholarship.org/uc/item/4pg9j2jjhttps://doaj.org/toc/2474-252XIntroduction: Colonoscopy is a commonly performed outpatient procedure with a low risk of complications. The most common complications seen in the postoperative period include hemorrhage and perforation. Infrequently, splenic injury can occur. Case Report: A 72-year-old male presented with a one-day history of left upper quadrant pain following colonoscopy. During the procedure he had two polyps removed along the transverse colon near the splenic flexure. There were no complications during the procedure or in the immediate post-operative period. On presentation to the emergency department, abdominal tenderness was present in the left upper quadrant without rebound, rigidity, or guarding. Point-of-care ultrasound of the abdomen demonstrated mixed hypoechoic densities confined to the splenic capsule, and computed tomography of the abdomen and pelvis with intravenous contrast noted a grade II/III splenic laceration without active extravasation. The patient was admitted for serial abdominal examination and labs. Conclusion: Splenic injury following colonoscopy is a rare complication of colonoscopy. Emergency providers should be aware of this possible complication, and acute management should include basic trauma care and consultation for possible intervention, if warranted.Jason WangHeesun ChoiJohn AshursteScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Jason Wang Heesun Choi John Ashurst Splenic Injury Following Colonoscopy: A Case Report
description	Introduction: Colonoscopy is a commonly performed outpatient procedure with a low risk of complications. The most common complications seen in the postoperative period include hemorrhage and perforation. Infrequently, splenic injury can occur. Case Report: A 72-year-old male presented with a one-day history of left upper quadrant pain following colonoscopy. During the procedure he had two polyps removed along the transverse colon near the splenic flexure. There were no complications during the procedure or in the immediate post-operative period. On presentation to the emergency department, abdominal tenderness was present in the left upper quadrant without rebound, rigidity, or guarding. Point-of-care ultrasound of the abdomen demonstrated mixed hypoechoic densities confined to the splenic capsule, and computed tomography of the abdomen and pelvis with intravenous contrast noted a grade II/III splenic laceration without active extravasation. The patient was admitted for serial abdominal examination and labs. Conclusion: Splenic injury following colonoscopy is a rare complication of colonoscopy. Emergency providers should be aware of this possible complication, and acute management should include basic trauma care and consultation for possible intervention, if warranted.
format	article
author	Jason Wang Heesun Choi John Ashurst
author_facet	Jason Wang Heesun Choi John Ashurst
author_sort	Jason Wang
title	Splenic Injury Following Colonoscopy: A Case Report
title_short	Splenic Injury Following Colonoscopy: A Case Report
title_full	Splenic Injury Following Colonoscopy: A Case Report
title_fullStr	Splenic Injury Following Colonoscopy: A Case Report
title_full_unstemmed	Splenic Injury Following Colonoscopy: A Case Report
title_sort	splenic injury following colonoscopy: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/73906d553f0d438fa2a0e22b6e31a667
work_keys_str_mv	AT jasonwang splenicinjuryfollowingcolonoscopyacasereport AT heesunchoi splenicinjuryfollowingcolonoscopyacasereport AT johnashurst splenicinjuryfollowingcolonoscopyacasereport
_version_	1718416099300605952

Splenic Injury Following Colonoscopy: A Case Report

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