Year 2015 / Volume 107 / Number 11
Letter to the Editor
Splenic rupture after colorectal cancer screening

705-706

DOI: 10.17235/reed.2015.3714/2015

María José García García, Ramón Castañera González, Berta Martín Rivas, Marcos Gómez Ruiz, Montserrat Rivero Tirado,

Abstract
The number of colonoscopies performed in recent years is increasing dramatically, specially those related to colorectal cancer screening programmes. For this reason, there is a direct relationship with the number of exceptional complications such as splenic rupture. We describe a clinical case of a splenic rupture with hemodynamic instability. Consequently, an emergency splenectomy was performed 6 hours after the colonoscopy was finished. Health staff should be aware of its existence, as an early reaction will avoid more severe problems.
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References
1. Aubrey-Bassler FK, Sowers N. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC Emerg Med 2012;12:11
2. Petersen CR, Adamsen S, Gocht-Jensen P, et al. Splenic injury after colonoscopy. Endoscopy. 2008;40:76-9.
3. Piccolo G, Di Vita M, Cavallaro A, et al. Presentation and management of splenic injury after colonoscopy: a systematic review. Surg Laparosc Endosc Percutan Tech. 2014;24:95-102.
4. Corcillo A, Aellen S, Zingg T, et al. Endovascular treatment of active splenic bleeding after colonoscopy: a systematic review of the literature. Cardiovasc Intervent Radiol. 2013;36:1270-9
5. Johnson C, Mader M, Edwards DM, et al. Splenic rupture following colonoscopy: two cases with CT findings. Emerg Radiol. 2006;13:47-49
6. Stein DF, Myaing M, Guillaume C. Splenic rupture after colonoscopy treated by splenic artery embolization. Gastrointest Endosc. 2002;55:946-8.
7. Janes SE, Cowan IA, Dijkstra B. A life threatening complication after colonoscopy. BMJ. 2005;330:889-90.
8 Zandonà C, Turrina S, Pasin N, et al. Medico-legal considerations in a case of splenic injury that occurred during colonoscopy. J Forensic Leg Med. 2012;19:229-33.
9. Rex DK, Deenadayalu VP, Eid E, et al. Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterology. 2009;137:1229-37; quiz 1518-9.
10. González-Soler R, Castro-Ortiz E, Lancho-Seco Á, et al. Splenic rupture following diagnostic colonoscopy. Rev Esp Enferm Dig. 2012;104:219-20.
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García García M, Castañera González R, Martín Rivas B, Gómez Ruiz M, Rivero Tirado M. Splenic rupture after colorectal cancer screening. 3714/2015


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Publication history

Received: 04/02/2015

Accepted: 08/04/2015

Online First: 15/09/2015

Published: 30/10/2015

Article revision time: 22 days

Article Online First time: 223 days

Article editing time: 268 days


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