Document Detail

Splenic injury due to colonoscopy: analysis of the world literature, a new case report, and recommendations for management.
MedLine Citation:
PMID:  21140684     Owner:  NLM     Status:  MEDLINE    
Splenic injury is a rare complication of colonoscopy. Most literature on the topic is case-report based. Our objective was to perform a comprehensive analysis of characteristics of splenic injury due to colonoscopy from available published reports in the world literature, to compare and contrast this entity with that of traumatic splenic injury, and provide recommendations for management based on the analysis. We reviewed the PubMed database without restrictions using the terms splenic trauma after colonoscopy, splenic rupture from colonoscopy, splenic injury following colonoscopy, and splenic complications of colonoscopy, and also reviewed the references from the resulting publications. Retrieved manuscripts (case reports, reviews, and abstracts) were reviewed by two authors, and data extracted for 15 specific characteristics of each patient reported using a standardized data collection tool. Data were analyzed using descriptive statistics. Splenic injury due to colonoscopy is extremely rare as reported in published literature. The majority of patients that seek medical attention have delayed symptoms, and most require splenectomy. Subcapsular hematoma is the most common injury pattern seen. Selection criteria for operative management may be extrapolated from management guidelines for traumatic splenic injury, although nonoperative failure rates are higher for splenic injury due to colonoscopy than for trauma.
Christopher P Michetti; Emily Smeltzer; Samir M Fakhry
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  76     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-12-09     Completed Date:  2011-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1198-204     Citation Subset:  IM    
Inova Regional Trauma Center, Inova Fairfax Hospital, Falls Church, Virginia 22042, USA.
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MeSH Terms
Colonoscopy / adverse effects*
Middle Aged
Spleen / injuries*,  surgery*
Splenic Rupture / etiology*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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