Khosla Manraj, Webster Luke, Ahmad Kareem, Chuang Keng-Yu
Department of Internal Medicine, St. Joseph's Hospital and Medical Center, Phoenix, AZ.
Department of Internal Medicine, Creighton University School of Medicine, Omaha, NE.
ACG Case Rep J. 2016 Aug 17;3(4):e103. doi: 10.14309/crj.2016.76. eCollection 2016 Aug.
Hemoperitoneum without evidence of organ damage is a rare complication of colonoscopy. It is most frequently seen in association with splenic rupture due to traction on the splenocolic ligament. In our case, we present a 48-year-old cirrhotic man who developed peritoneal bleeding during a diagnostic colonoscopy for iron deficiency anemia. However, he was without signs of splenic damage or colon perforation. We suggest that the most likely source of bleeding is a ruptured portal-caval collateral vessel based on a computed tomography performed following the procedure.
无器官损伤证据的腹腔积血是结肠镜检查的一种罕见并发症。它最常与因脾结肠韧带牵引导致的脾破裂相关。在我们的病例中，我们报告了一名48岁的肝硬化男性，他在因缺铁性贫血进行诊断性结肠镜检查时发生了腹腔出血。然而，他没有脾损伤或结肠穿孔的迹象。根据术后进行的计算机断层扫描，我们认为最可能的出血来源是门静脉-腔静脉侧支血管破裂。
