Splenic Injury after Screening Colonoscopy; Could that Happen Twice? An Unusual Case Report
Journal Title: Journal of Case Reports and Studies - Year 2017, Vol 5, Issue 4
Abstract
Background: Iatrogenic splenic injury is a known but rare complication of colonoscopic procedures. Our department describes a very interesting case of the same complication that occurred twice on the same patient. Description of the Case: The patient had an elective colonoscopy for microcytic anemia and shortly after the endoscopic procedure she developed excessive abdominal pain and had a syncope episode. She gradually became hemodynamically unstable and needed proper resuscitation. An abdominal tomography scan performed which surprisingly demonstrated active intra-abdominal bleeding pointing a ruptured spleen as the source of the hemorrhage. This finding surprised us given the fact that her past surgical history included a previous splenectomy for the same complication 14 years ago. The patient underwent an emergency laparotomy for control of the hemorrhage and a splenectomy of an actively bleeding spleen was performed. Thorough investigation of the abdominal cavity was negative for residual splenic tissue. The patient was discharged after four days of an uncomplicated post-surgical recovery. Conclusion: We postulate that there was either a splenosis, or a splenunculus. There is a possibility that the previous splenectomy was partial. To the best of our knowledge this is the first reported case of the same rare complication that happened twice to the same patient.
Authors and Affiliations
Christopoulos P
Keywords
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- EP ID EP584554
- DOI 10.15744/2348-9820.5.401
- Views 71
- Downloads 0
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