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[A case of splenic injury after colonoscopy]. | LitMetric

AI Article Synopsis

  • * She was diagnosed with abdominal bleeding caused by an injury to the lower splenic pole, identified through a CT scan, and underwent an urgent splenectomy.
  • * The splenic injury occurred without any abdominal trauma and was likely due to adhesions from previous surgeries, with the potential for worsening bleeding attributed to her use of antiplatelet medications.

Article Abstract

An 81-year-old woman lost consciousness and was taken to our hospital 3 days after colonoscopy was performed as a follow-up of endoscopic mucosal resection done 1 year ago for early sigmoid colon cancer detection. She had left hypochondrial pain. Based on abdominal contrast-enhanced computed tomography (CT) findings, she was diagnosed with abdominal bleeding due to injury to the lower splenic pole, and an urgent splenectomy was performed. In this case, there was no abdominal trauma to cause splenic injury. Injury to the lower splenic pole during colonoscopy was considered due to the adhesion found in the abdominal cavity. It is possible that the hemorrhage did not stop because she was taking antiplatelet drugs.

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Source
http://dx.doi.org/10.11405/nisshoshi.119.839DOI Listing

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