Suarez Zoilo K, Hernandez Oscar L, Diaz Pedro J, Matott Samantha, Ta Quan
Internal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Internal Medicine, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Cureus. 2023 Mar 27;15(3):e36724. doi: 10.7759/cureus.36724. eCollection 2023 Mar.
Colonoscopies are generally considered a safe procedure with an overall complication rate of 0.5%. Splenic injuries, including laceration, subcapsular hematoma, and rupture, have been thought to be underreported in the currently available literature. The etiology of splenic injury remains unknown, although excessive splenocolic ligament stretching and traction of adhesions have been hypothesized to play a role in its development. Even though conservative, percutaneous, and surgical strategies have been described in the literature, these strategies have been associated with higher mortality, and there is no consensus on the optimal approach to management. We present the case of a patient who sustained a splenic injury after a colonoscopy and was successfully managed with conservative measures.
结肠镜检查通常被认为是一种安全的操作，总体并发症发生率为0.5%。脾脏损伤，包括脾破裂、包膜下血肿和脾破裂，在目前可得的文献中被认为报告不足。脾脏损伤的病因尚不清楚，尽管有人推测脾结肠韧带过度拉伸和粘连牵引在其发生过程中起作用。尽管文献中描述了保守、经皮和手术治疗策略，但这些策略与较高的死亡率相关，并且在最佳治疗方法上没有共识。我们报告一例患者，该患者在结肠镜检查后发生脾脏损伤，并通过保守治疗成功治愈。
