Splenic injuries secondary to colonoscopy: Rare but serious complication.
Publication/Presentation Date
2-27-2020
Abstract
BACKGROUND: Colonoscopy is a safe and routine diagnostic and therapeutic procedure for evaluation of large bowel diseases. Most common procedure related complications include bleeding and perforation but rarely a splenic Injury.
AIM: To investigate the reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients.
METHODS: A structured search on four databases was done and 45 articles with 68 patients were selected. The reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients were identified and analyzed using SPSS.
RESULTS: The mean age of the patients was 62.7 years with 64% females. Twenty two percent had a complete splenic rupture with colonoscopy while 63% had subcapsular hematoma, spleen laceration and spleen avulsion. The most common reason for colonoscopy was screening (46%) followed by diagnostic colonoscopy (28%). Eighty seven percent of patients presented with abdominal pain. Patients with spleen rupture mostly required splenectomy (47%), while minor spleen hematomas and lacerations were managed conservatively (38%). Six percent of the patients were managed with proximal splenic artery splenic embolization and 4% were managed with laparoscopic repair. The overall mortality was 10% while 77% had complete recovery. The reason of colonoscopy against presentation specifically, abdominal pain showed no statistical significance
CONCLUSION: Spleen rupture due to colonoscopy is a significant concern and is associated with high mortality. The management of the patients can be individualized based on clinical presentation.
Volume
12
Issue
2
First Page
55
Last Page
67
ISSN
1948-9366
Published In/Presented At
Ullah, W., Rashid, M. U., Mehmood, A., Zafar, Y., Hussain, I., Sarvepalli, D., & Hasan, M. K. (2020). Splenic injuries secondary to colonoscopy: Rare but serious complication. World journal of gastrointestinal surgery, 12(2), 55–67. https://doi.org/10.4240/wjgs.v12.i2.55
Disciplines
Medicine and Health Sciences
PubMedID
32128029
Department(s)
Department of Medicine
Document Type
Article