Splenic rupture following colonoscopy

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dc.contributor.authorFrancisco Guerra, Juan
dc.contributor.authorSan Francisco, Ignacio
dc.contributor.authorPimentel, Fernando
dc.contributor.authorIbanez, Luis
dc.date.accessioned2024-01-10T14:21:43Z
dc.date.available2024-01-10T14:21:43Z
dc.date.issued2008
dc.description.abstractColonoscopy 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.
dc.fechaingreso.objetodigital2024-05-23
dc.format.extent3 páginas
dc.fuente.origenWOS
dc.identifier.doi10.3748/wjg.14.6410
dc.identifier.eissn2219-2840
dc.identifier.issn1007-9327
dc.identifier.pubmedidMEDLINE:19009661
dc.identifier.urihttps://doi.org/10.3748/wjg.14.6410
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79760
dc.identifier.wosidWOS:000261057300025
dc.information.autorucMedicina;Guerra J;S/I;159745
dc.information.autorucMedicina;Ibáñez L;S/I;99661
dc.information.autorucMedicina;Pimentel F;S/I;58222
dc.information.autorucMedicina;San Francisco I;S/I;152729
dc.issue.numero41
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final6412
dc.pagina.inicio6410
dc.publisherBAISHIDENG PUBLISHING GROUP INC
dc.revistaWORLD JOURNAL OF GASTROENTEROLOGY
dc.rightsacceso abierto
dc.subjectColonoscopy
dc.subjectSplenic injury
dc.subjectSplenic rupture
dc.subjectSplenectomy
dc.subjectUNUSUAL COMPLICATION
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSplenic rupture following colonoscopy
dc.typeartículo
dc.volumen14
sipa.codpersvinculados159745
sipa.codpersvinculados99661
sipa.codpersvinculados58222
sipa.codpersvinculados152729
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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