结肠镜检查所致脾破裂1例。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI:10.1093/jscr/rjaf313
Navid Moghimi, Markus A Puchner
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引用次数: 0

摘要

脾破裂是一种罕见但严重的医源性结肠镜并发症,可能导致血流动力学不稳定。当排除息肉切除后综合征和穿孔等常见并发症时,医生必须高度怀疑脾损伤,特别是术后出现腹痛的患者。本报告描述一名80岁男性在例行结肠镜检查后施行紧急脾切除术。术后7小时,患者出现腹痛、晕厥、出汗和低血压。计算机断层成像显示脾脏破裂伴7厘米实质血肿,肝脏周围有明显的血晕,骨盆内有大量血液积聚。患者接受了紧急脾切除术,6天后出院,无并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case report of splenic rupture related to colonoscopy.

Splenic rupture is a rare but serious iatrogenic complication of colonoscopy, potentially leading to hemodynamic instability. When common complications such as post-polypectomy syndrome and perforation are excluded, physicians must maintain a high level of suspicion for splenic injury, particularly in patients presenting with abdominal pain after the procedure. This report describes an emergency splenectomy performed on an 80-year-old male following a routine colonoscopy. Seven hours of post-procedure, the patient presented abdominal pain, syncope, sweating, and hypotension. Computed tomography imaging revealed a ruptured spleen with a 7-cm parenchymal hematoma, a significant blood halo surrounding the liver, and a large blood accumulation in the pelvis. The patient underwent an emergency splenectomy and was discharged 6 days later without complications.

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CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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