• Chirurgia italiana · Sep 2007

    Review Case Reports

    Splenic rupture after colonoscopy. A case report and review of the literature.

    • Francesco Di Lecce, Paolo Viganò, Stefano Pilati, Nicola Mantovani, Thomas Togliani, and Coriolano Pulica.
    • SC di Chirurgia Generale, Azienda Ospedaliera Carlo Poma, Mantova.
    • Chir Ital. 2007 Sep 1;59(5):755-7.

    AbstractRupture of the spleen after colonoscopy is a rare but dangerous complication; up to now only a few cases have been reported in the literature. This complication is more frequent in patients who have previously undergone abdominal surgery and after operative colonoscopies. This case report describes a 64-year-old man who complained of abdominal pain and dyspnoea some hours after a colonoscopy. Laboratory exams showed anaemia; the patient also developed hypotension and tachycardia; a CT scan revealed a splenic laceration with haemoperitoneum. A laparotomic splenectomy was successfully carried out.

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