Skip to main content
Top
Published in: Emergency Radiology 1/2006

01-09-2006 | Case Report

Splenic rupture following colonoscopy: two cases with CT findings

Authors: Craig Johnson, Michael Mader, D. Makana Edwards, Thomas Vesy

Published in: Emergency Radiology | Issue 1/2006

Login to get access

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.
Literature
1.
go back to reference Wexner SD, Garbaus JE, Singh JJ (2001) A prospective analysis of 13,580 colonoscopies: reevaluation of credentialing guidelines. Surg Endosc 15:251–261PubMedCrossRef Wexner SD, Garbaus JE, Singh JJ (2001) A prospective analysis of 13,580 colonoscopies: reevaluation of credentialing guidelines. Surg Endosc 15:251–261PubMedCrossRef
2.
go back to reference Olshaker JS, Deckleman C (1999) Delayed presentation of splenic rupture after colonoscopy. J Emerg Med 17:455–457PubMedCrossRef Olshaker JS, Deckleman C (1999) Delayed presentation of splenic rupture after colonoscopy. J Emerg Med 17:455–457PubMedCrossRef
3.
go back to reference 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 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
4.
go back to reference Macrac FA, Tark H, Williams CB (1983) Toward safer colonoscopy: a report on the complications of 5,000 diagnostic and therapeutic colonoscopies. Gut 24:376–383CrossRef Macrac FA, Tark H, Williams CB (1983) Toward safer colonoscopy: a report on the complications of 5,000 diagnostic and therapeutic colonoscopies. Gut 24:376–383CrossRef
5.
6.
go back to reference Wherry DC, Zehner H Jr (1974) Colonoscopic fiberoptic–endoscopic approach to the colon and polypectomy. Med Ann D C 43:189–192 Wherry DC, Zehner H Jr (1974) Colonoscopic fiberoptic–endoscopic approach to the colon and polypectomy. Med Ann D C 43:189–192
7.
go back to reference Prowda JC, Trevisan SG, Lev-Toaff AS (2005) Splenic injury after colonoscopy: conservative management using CT. AJR Am J Roentgenol 185:708–710PubMed Prowda JC, Trevisan SG, Lev-Toaff AS (2005) Splenic injury after colonoscopy: conservative management using CT. AJR Am J Roentgenol 185:708–710PubMed
8.
go back to reference Janes SE, Cowan IA, Dijkstra B (2005) A life threatening complication after colonoscopy. BMJ 330:889–890PubMedCrossRef Janes SE, Cowan IA, Dijkstra B (2005) A life threatening complication after colonoscopy. BMJ 330:889–890PubMedCrossRef
Metadata
Title
Splenic rupture following colonoscopy: two cases with CT findings
Authors
Craig Johnson
Michael Mader
D. Makana Edwards
Thomas Vesy
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Emergency Radiology / Issue 1/2006
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-006-0519-3

Other articles of this Issue 1/2006

Emergency Radiology 1/2006 Go to the issue

Editorial

Editorial