• Internal medicine · Feb 2024

    Moderate Splenic Injury Caused by Colonoscopy: A Case Report.

    • Kana Ayaki, Masaaki Higashiyama, Takuma Oguro, Suguru Ito, Rina Tanemoto, Akira Tomioka, Hiroyuki Nishimura, Yuta Yoshidome, Hiroyuki Tahara, Kazuyuki Narimatsu, Shunsuke Komoto, Kengo Tomita, and Ryota Hokari.
    • Department of Internal Medicine, National Defense Medical College, Japan.
    • Intern. Med. 2024 Feb 1; 63 (3): 379383379-383.

    AbstractLittle is known about iatrogenic splenic injury (SI) as an adverse event after colonoscopy. SI is sometimes fatal because of hemorrhaging. We herein report a man who developed SI after colonoscopy. He recovered conservatively. His history of left hydronephrosis and insertion with a maximally stiffened scope were suspected as possible risk factors. Endoscopists should consider the possibility of SI when they encounter patients suffering from left-sided abdominal pain after colonoscopy. Careful interview concerning the medical history and gentle maneuvering around the splenic flexure can help avoid SI.

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