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结肠镜检查所致脾损伤：一种简化的放射学评估方法

Colonoscopic Splenic Injury: A Simplified Radiologic Approach.

作者信息

Chen Tara, Tong Qiu, Kurchin Alexander

机构信息

Department of Surgery, Rochester General Hospital, Rochester, NY, USA.

出版信息

Case Rep Gastrointest Med. 2016;2016:2615453. doi: 10.1155/2016/2615453. Epub 2016 Dec 18.

DOI:10.1155/2016/2615453
PMID:28078148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5203886/
Abstract

Colonoscopy is a commonly performed procedure for diagnosis and treatment of large bowel diseases. Recognized complications include bleeding and perforation. Splenic injury during colonoscopy is a rare complication. We report a case of a 73-year-old woman who presented with left-sided abdominal pain after colonoscopy with finding of splenic injury on CT scan. She was managed conservatively. We discuss the diagnostic and therapeutic approach to colonoscopic splenic injury.

摘要

结肠镜检查是诊断和治疗大肠疾病的常用方法。公认的并发症包括出血和穿孔。结肠镜检查期间脾脏损伤是一种罕见的并发症。我们报告一例73岁女性患者，在结肠镜检查后出现左侧腹痛，CT扫描发现脾脏损伤。她接受了保守治疗。我们讨论了结肠镜检查所致脾脏损伤的诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bea/5203886/5d6bb4ed15eb/CRIGM2016-2615453.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bea/5203886/5d6bb4ed15eb/CRIGM2016-2615453.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bea/5203886/5d6bb4ed15eb/CRIGM2016-2615453.001.jpg

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本文引用的文献

1
Splenic rupture following colonoscopy: Case report and literature review.结肠镜检查后脾破裂：病例报告及文献综述
Int J Surg Case Rep. 2016;21:118-20. doi: 10.1016/j.ijscr.2016.02.038. Epub 2016 Mar 4.
2
Superselective splenic artery embolization for the management of splenic laceration following colonoscopy.超选择性脾动脉栓塞术用于结肠镜检查后脾破裂的治疗
Acta Radiol Short Rep. 2014 Apr 23;3(3):2047981614524199. doi: 10.1177/2047981614524199. eCollection 2014 Apr.
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Presentation and management of splenic injury after colonoscopy: a systematic review.
结肠镜检查后脾损伤的表现与处理：一项系统综述
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Endovascular treatment of active splenic bleeding after colonoscopy: a systematic review of the literature.结肠镜检查后活动性脾出血的血管内治疗：文献系统评价。
Cardiovasc Intervent Radiol. 2013 Oct;36(5):1270-9. doi: 10.1007/s00270-012-0539-1. Epub 2012 Dec 21.
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Laparoscopic splenectomy for traumatic splenic injury after screening colonoscopy.结肠镜筛查后外伤性脾损伤的腹腔镜脾切除术
Case Rep Gastroenterol. 2012 Sep;6(3):624-8. doi: 10.1159/000343428. Epub 2012 Sep 28.
6
Radiographic assessment of splenic injury without contrast: is contrast truly needed?平扫脾脏损伤的影像学评估：真的需要造影剂吗？
Surgery. 2012 Oct;152(4):676-82; discussion 682-4. doi: 10.1016/j.surg.2012.07.016. Epub 2012 Aug 31.
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Non-operative management of splenic trauma.脾外伤的非手术治疗
J Med Life. 2012 Feb 22;5(1):47-58. Epub 2012 Mar 5.
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Splenic injury during colonoscopy--a complication that warrants urgent attention.结肠镜检查时的脾脏损伤——一种需要紧急关注的并发症。
J Gastrointest Surg. 2012 Jun;16(6):1225-34. doi: 10.1007/s11605-012-1871-0. Epub 2012 Mar 27.
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Splenic trauma: what is new?脾外伤：有哪些新进展？
Radiol Clin North Am. 2012 Jan;50(1):105-22. doi: 10.1016/j.rcl.2011.08.008.
10
Impact of splenic artery embolization on the success rate of nonoperative management for blunt splenic injury.脾动脉栓塞对非手术治疗钝性脾损伤成功率的影响。
Cardiovasc Intervent Radiol. 2012 Feb;35(1):76-81. doi: 10.1007/s00270-011-0132-z. Epub 2011 Mar 24.