Blunt splenic injury during colonoscopy: Is it as rare as we think?

Erin G. Andrade, Olubode A. Olufajo, Eleanor L. Drew, Grant V. Bochicchio, Laurie J. Punch

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Post colonoscopy blunt splenic injury (PCBSI) is a rarely reported and poorly recognized event. We analyzed cases of PCBSI managed at our hospital and compared them to existing literature. Methods: We identified 5 patients admitted with PCBSI through chart review. Results: There were 5 cases of PCBSI identified from April 2016–July 2017. Four of the patients were older than 65 years, three had prior surgeries, and all were women. CT scans showed splenic laceration in 4 cases, hemoperitoneum in 4 cases, and left pleural effusion in 2 cases. Three patients were treated with coil embolization, 1 had open splenectomy, and 1 was observed. Conclusions: Although blunt splenic injury is an infrequently reported complication of colonoscopy, it can result in high-grade injury requiring transfusion and invasive treatment due to significant hemorrhage. As previously reported, we demonstrate a high rate of PCBSI in women over 55 with a history of prior abdominal surgery. These data suggest that a high index of suspicion for splenic injury post-colonoscopy should be present in this population.

Original languageEnglish
Pages (from-to)1042-1045
Number of pages4
JournalAmerican journal of surgery
Volume215
Issue number6
DOIs
StatePublished - Jun 2018

Keywords

  • Blunt splenic injury
  • Colonoscopy
  • Management

Fingerprint Dive into the research topics of 'Blunt splenic injury during colonoscopy: Is it as rare as we think?'. Together they form a unique fingerprint.

Cite this