| Splenic injury from colonoscopy: a review and management guidelines. | |
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MedLine Citation:
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PMID: 21886052 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Splenic injury is an uncommon complication of colonoscopy. Less than 100 cases are reported in the English language literature. The exact mechanism of injury to the spleen during colonoscopy is unknown; various authors propose several risk factors and possible mechanisms. Splenic injury can be graded or classified according to the extent of laceration and the severity of the resultant hematoma. The management options range from observation to emergency splenectomy. Computed tomography scan is the most important imaging modality to diagnose splenic injury. Early recognition and appropriate management is of paramount importance in the management of this condition. A high index of suspicion in a patient with persistent abdominal pain after colonoscopy is key especially when a perforated viscous is ruled out. This article outlines the clinical presentation of splenic injury after colonoscopy and delineates a management algorithm. |
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Authors:
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Vishal Ghevariya; Noubar Kevorkian; Armand Asarian; Sury Anand; Mahesh Krishnaiah |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Southern medical journal Volume: 104 ISSN: 1541-8243 ISO Abbreviation: South. Med. J. Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-09-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404522 Medline TA: South Med J Country: United States |
Other Details:
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Languages: eng Pagination: 515-20 Citation Subset: AIM; IM |
Affiliation:
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From the Division of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY; and Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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