Gores P F, Simso L A
Department of Surgery, University of Minnesota Medical School, Minneapolis.
Arch Surg. 1989 Nov;124(11):1342. doi: 10.1001/archsurg.1989.01410110104021.
Splenic injury was associated with a flexible fiberoptic colonoscopy and required an urgent splenectomy. Injuries to viscera other than the colon during colonoscopy are rare, and the diagnosis is frequently delayed. Excessive traction on the splenocolic ligament or on preexisting adhesions, resulting in capsular tears, is the presumed mechanism of injury. Although computed tomography may be helpful, the greatest aid to an early diagnosis is the knowledge that this complication may occur.
脾损伤与柔性纤维结肠镜检查相关，需要紧急行脾切除术。结肠镜检查期间除结肠外的其他内脏损伤罕见，且诊断常常延迟。脾结肠韧带或既往粘连处过度牵拉导致包膜撕裂，被认为是损伤机制。虽然计算机断层扫描可能有帮助，但对早期诊断最有帮助的是了解这种并发症可能发生。
