Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지

A Case of Splenic Rupture after Diagnostic Colonoscopy

대장내시경 후 발생한 비장 파열 1예

  • Kim, Sun-Bean (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jeon, Won-Joong (Department of Internal Medicine, Cheju Halla General Hospital) ;
  • Kim, Hyun (Department of Radiology, Cheju Halla General Hospital) ;
  • Song, Kyung-Ho (Department of Internal Medicine, Cheju Halla General Hospital) ;
  • Lee, Jeong-Rok (Department of Internal Medicine, Cheju Halla General Hospital) ;
  • Lee, Sang-Jin (Department of Internal Medicine, Cheju Halla General Hospital) ;
  • Kim, Young-Nam (Department of Internal Medicine, Cheju Halla General Hospital) ;
  • Cha, Byung-Hyo (Department of Internal Medicine, Cheju Halla General Hospital)
  • 김선빈 (연세대학교 의과대학 내과학교실) ;
  • 전원중 (제주한라병원 소화기내과) ;
  • 김현 (제주한라병원 영상의학과) ;
  • 송경호 (제주한라병원 소화기내과) ;
  • 이정록 (제주한라병원 소화기내과) ;
  • 이상진 (제주한라병원 소화기내과) ;
  • 김영남 (제주한라병원 소화기내과) ;
  • 차병효 (제주한라병원 소화기내과)
  • Received : 2010.07.16
  • Accepted : 2010.09.02
  • Published : 2010.12.30
⟨ Previous Next ⟩

Abstract

Splenic injury during colonoscopy is a rare, but potentially life-threatening complication. We report here on the case of a 75-year-old female patient with a ruptured spleen after screening colonoscopy and we review the relevant literature.

대장내시경에 의한 비장 파열은 매우 드물지만 사망을 초래할 수 있는 중한 합병증이다. 저자들은 검진 목적으로 대장내시경을 시행 받은 75세 여성에서 대장내시경으로 인하여 발생한 비장 파열을 경험하여 문헌고찰과 함께 보고한다.

Keywords

References

  1. Wherry DC, Zehner H Jr. Colonoscopy-fiberoptic endoscopic approach to the colon and polypectomy. Med Ann Dist Columbia 1974;43:189-192.
  2. Bergamaschi R, Arnaud JP. Splenic rupture from colonoscopy. Surg Endosc 1997;11:1133. https://doi.org/10.1007/s004649900549
  3. Benter T, Kurz C, Schuler M, Vinis E, Gottschalk U, Koop H. Splenic injury after colonoscopy: a retrospective study and review of the literature. Dtsch Med Wochenschr 2009;134:1804-1807. https://doi.org/10.1055/s-0029-1237514
  4. de Vries J, Ronnen HR, Oomen AP, Linskens RK. Splenic rupture following colonoscopy, a rare complication. Neth J Med 2009;67:230-233.
  5. Kiosoglous AJ, Varghese R, Memon MA. Splenic rupture after colonoscopy: a case report. Surg Laparosc Endosc Percutan Tech 2009;19:e104-e105. https://doi.org/10.1097/SLE.0b013e3181a1439a
  6. Espinal EA, Hoak T, Porter JA, Sleazak FA. Splenic rupture from colonoscopy. A report of two cases and review of literature. Surg Endosc 1997;11:71-73. https://doi.org/10.1007/s004649900298
  7. Naini MA, Masoompour SM. Splenic rupture as a complication of colonoscopy. Indian J Gastroenterol 2005;24:264-265.
  8. Olshaker JS, Deckleman C. Delayed presentation of splenic rupture after colonoscopy. J Emerg Med 1999;17:455-457. https://doi.org/10.1016/S0736-4679(99)00040-2
  9. Castelli M. Splenic rupture: an unusual late complication of colonoscopy. CMAJ 1986;134:916-917.
  10. Volchok J, Cohn M. Rare complications following colonoscopy: case reports of splenic rupture and appendicitis. JSLS 2006;10:114-116.
  11. Cappellani A, Di Vita M, Zanghi A, et al. Splenic rupture after colonoscopy: report of a case and review of literature. World J Emerg Surg 2008;3:8. https://doi.org/10.1186/1749-7922-3-8
  12. Prowda JC, Trevisan SG, Lev-Toaff AS. Splenic injury after colonoscopy: conservative management using CT. AJR Am J Roentgenol 2005;185:708-710. https://doi.org/10.2214/ajr.185.3.01850708
  13. Stein DF, Myaing M, Guillaume C. Splenic rupture after colonoscopy treated by splenic artery embolization. Gastrointest Endosc 2002;55:946-948. https://doi.org/10.1067/mge.2002.124639