Pasumarthy Lakshmi, Srour James
Department of Medicine, York Hospital, 1001 S. George St, York, PA 17405, USA.
Department of Gastroenterology, York Hospital, 1001 S. George St, York, PA 17405, USA.
Gastroenterology Res. 2009 Jun;2(3):175-177. doi: 10.4021/gr2009.05.1292. Epub 2009 May 20.
Splenic perforation represents a rare complication of colonoscopy. In our report we have reviewed the experience reported in the world literature, including proposed mechanisms, risk factors for splenic perforation and available management options. We have also discussed our concerns for under reporting. We had a total of 4 cases of splenic perforation following colonoscopies at our centre. One patient had a small splenic laceration repaired; two were observed closely and discharged without intervention. The patient mentioned below required a splenectomy.
脾穿孔是结肠镜检查中一种罕见的并发症。在我们的报告中,我们回顾了世界文献中报道的相关经验,包括可能的机制、脾穿孔的危险因素以及可用的处理方法。我们还讨论了我们对报告不足的担忧。我们中心共有4例结肠镜检查后发生脾穿孔的病例。1例患者的小脾裂伤得到修复;2例密切观察后未进行干预即出院。下面提到的患者需要进行脾切除术。