Browsing by Author "San Francisco, Ignacio"

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    Priapism induced by use of tamsulosin: A case report and review of the literature
    (2019) Marconi, Marcelo; Pavez, Pablo; San Francisco, Ignacio; Narvaez, Paulette
    Numerous medications have been associated to the development of priapism as an adverse reaction, the most common are intracavernosal vasoactive agents, antipsychotics and antidepressants. Alpha blockers, in particular tamsulosin which is widely used in different urological conditions, has been associated to priapism in only few case reports.
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    Splenic rupture following colonoscopy
    (BAISHIDENG PUBLISHING GROUP INC, 2008) Francisco Guerra, Juan; San Francisco, Ignacio; Pimentel, Fernando; Ibanez, Luis
    Colonoscopy is a safe and routinely performed diagnostic and therapeutic procedure for different colorectal diseases. Although the most common complications are bleeding and perforation, extracolonic or visceral injuries have also been described. Splenic rupture is a rare complication following colonoscopy, with few cases reported. We report a 60-year-old female who presented to surgical consultation 8 h after a diagnostic colonoscopy. Clinical, laboratory and imaging findings were suggestive for a massive hemoperitoneum. At surgery, an almost complete splenic disruption was evident, and an urgent splenectomy was performed. After an uneventful postoperative period, she was discharged home. Splenic injury following colonoscopy is considered infrequent. Direct trauma and excessive traction of the splenocolic ligament can explain the occurrence of this complication. Many times the diagnosis is delayed because the symptoms are due to colonic insufflation, so the most frequent treatment is an urgent splenectomy. A high index of suspicion needs an early diagnosis and adequate therapy. (C) 2008 The WJG Press. All rights reserved.