DuCoin Christopher, Acholonu Emeka, Ukleja Andrew, Cellini Florencia, Court Ismael, Dabage Nemer, Szomstein Samuel, Rosenthal Raul J
The Bariatric and Metabolic Institute, Section of Minimally Invasive and Endoscopic Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.
Surg Laparosc Endosc Percutan Tech. 2010 Feb;20(1):e31-3. doi: 10.1097/SLE.0b013e3181cc4f62.
Splenic rupture is a rare complication after colonoscopy, and to date there are only 46 reported cases in the English-language literature. Presented is a case report of splenic rupture after screening colonoscopy that resulted in laparotomy and splenectomy within 24 hours of the original procedure. The article covers the hypothesized mechanisms of injury, various precautions to take during colonoscopy, suggested diagnostic algorithm, determining factors in treatment, and vaccine regimen. The article concludes by stating that as the number of colonoscopies increase, so will the prevalence of associated complications, and that physicians are encouraged to understand this paradigm shift.
脾破裂是结肠镜检查后一种罕见的并发症，迄今为止英文文献中仅报道了46例。本文报告了一例筛查结肠镜检查后发生脾破裂的病例，患者在原手术24小时内接受了剖腹手术和脾切除术。文章涵盖了推测的损伤机制、结肠镜检查期间应采取的各种预防措施、建议的诊断算法、治疗的决定因素以及疫苗接种方案。文章最后指出，随着结肠镜检查数量的增加，相关并发症的发生率也会增加，鼓励医生了解这一范式转变。
