Year 2019 / Volume 111 / Number 1
Letter
Splenic rupture: an infrequent but potentially severe complication after colonoscopy

82-83

DOI: 10.17235/reed.2018.5719/2018

Carmelo Diéguez Castillo, Mercedes López de Hierro, Eduardo Redondo-Cerezo,

Abstract
Splenic rupture is an infrequent compilation and can be severe without an early diagnosis. We present the case of a 53-year-old female who had undergone colonoscopy 24 hours previously and presented to the ER due to pain in left hemithorax and hypotension. She was diagnosed with a splenic rupture via abdominal computed tomography (CT). An urgent splenectomy was performed with a favorable postoperative evolution. The clinical recognition of splenic rupture is vital due to the fact that we are not as familiarized with this condition as we are with hemorrhage and perforation after colonoscopy.
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References
1. Martínez O, Pérez Caballas I, Domínguez Cunchillos F, et al. Rotura esplénica por colonoscopia. Cir Esp 200; 68: 177-8.
2. Casanova Martínez L, Martín Arranz E, Vázquez López P, et al. Rotura esplénica tras colonoscopia. Una complicación inusual. Gastroenterol Hepatol 2011; 34: 588-9
3. Laiz-Diez B, García-Muñoz-Najar A, Durán-Poveda M. A rare complication after colonoscopy: a splenic rupture. Rev Esp Enferm Dig 2018: 110(3):209
4. Barbeiro S, Atalaia-Martins C, Marcos P, et al. Splenic ruptura as a complication of colonoscopy. GE Port J Gastroenterol 2017; 24: 188-192
5. Peter F. Lalor, Barry D. Mann. Splenic rupture after colonoscopy. JSLS 2007 Jan-Mar; 11(1): 151-156.
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Diéguez Castillo C, López de Hierro M, Redondo-Cerezo E. Splenic rupture: an infrequent but potentially severe complication after colonoscopy. 5719/2018


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Publication history

Received: 11/05/2018

Accepted: 29/06/2018

Online First: 22/10/2018

Published: 17/01/2019

Article Online First time: 164 days

Article editing time: 251 days


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