Hemoperitoneum as a Consequence of Colonoscopy.

ACG Case Rep J

Department of Gastroenterology, Maricopa Medical Center, Phoenix, AZ.

Published: August 2016

Hemoperitoneum without evidence of organ damage is a rare complication of colonoscopy. It is most frequently seen in association with splenic rupture due to traction on the splenocolic ligament. In our case, we present a 48-year-old cirrhotic man who developed peritoneal bleeding during a diagnostic colonoscopy for iron deficiency anemia. However, he was without signs of splenic damage or colon perforation. We suggest that the most likely source of bleeding is a ruptured portal-caval collateral vessel based on a computed tomography performed following the procedure.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062647PMC
http://dx.doi.org/10.14309/crj.2016.76DOI Listing

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Article Synopsis
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  • The article discusses a case of a 73-year-old woman who experienced sudden left-sided flank pain, leading to the discovery of a splenic injury requiring emergency surgery and splenectomy.* -
  • Early diagnosis and treatment of spontaneous splenic rupture are crucial, as delays can increase the risk of serious complications, and while some stable patients might be treated non-operatively, long-term outcomes remain uncertain.*
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