Year 2021 / Volume 113 / Number 3
Letter
Splenic rupture as an endoscopic complication: as rare as it appears?

232

DOI: 10.17235/reed.2020.7342/2020

María del Mar Díaz Alcázar, Adelina García Robles, Alicia Martín-Lagos Maldonado,

Abstract
The case was an 86-year-old male with multiple cardiovascular comorbidites, including anticoagulated atrial fibrillation, who underwent a colonoscopy due to acute lower gastrointestinal bleeding and anemia. Colonoscopy only showed some small angiodysplasias in the cecum. A few hours later, the patient presented with abdominal pain and hemodynamic instability. An abdominal computed tomography was performed, which showed a splenic laceration and hemoperitoneum. An expectant attitude was decided, with a good evolution from the abdominal point of view. There was no sign of active splenic bleeding in a control computed tomography. However, he developed decompensated heart failure and finally died.
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References
1. Chow MD, Shih RD. Acute colonoscopy-induced splenic rupture presenting to the emergency department. Case Rep Emerg Med 2013;2013:436874. doi: 10.1155/2013/436874.
2. Diéguez Castillo C, López de Hierro M, Redondo-Cerezo E. Splenic rupture: an infrequent but potentially severe complication after colonoscopy. Rev Esp Enferm Dig 2019;111(1):82-3. doi: 10.17235/reed.2018.5719/2018.
3. Laiz Díez B, García Muñoz Najar A, Durán Poveda M. A rare complication after colonoscopy: a splenic rupture. Rev Esp Enferm Dig 2018;110(3):209. doi: 10.17235/reed.2018.5362/2017.
4. Le TT, Bilal M, Hashmi A, et al. Splenic hematoma: A "rare" complication of colonoscopy? Dig Liver Dis 2017;49(7):823-4. doi: 10.1016/j.dld.2017.04.002.
5. Feola A, Niola M, Conti A, et al. Iatrogenic splenic injury: review of the literature and medico-legal issues. Open Med (Wars) 2016;11(1):307-15. doi: 10.1515/med-2016-0059.
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Díaz Alcázar M, García Robles A, Martín-Lagos Maldonado A. Splenic rupture as an endoscopic complication: as rare as it appears?. 7342/2020


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Publication history

Received: 13/06/2020

Accepted: 23/06/2020

Online First: 23/11/2020

Published: 08/03/2021

Article Online First time: 163 days

Article editing time: 268 days


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