Evidence map›Paper›PMID 29255749›Full record

ArticleGE Portuguese journal of gastroenterology2017

Splenic Rupture as a Complication of Colonoscopy.

Sandra Barbeiro, Catarina Atalaia-Martins, Pedro Marcos, João Nobre, Cláudia Gonçalves, Cristina Aniceto

Abstract readCase Reports
In one paragraph

Article in GE Portuguese journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Splenic injuries secondary to colonoscopy: Rare but serious complication.World journal of gastrointestinal surgery · 2020
    Article
  5. Splenic Hematoma as a Rare Complication of Colonoscopy; a Case Report.Archives of academic emergency medicine · 2020
    Article
  6. Iatrogenic Severe Splenic Injury after Colonoscopy.Case reports in gastrointestinal medicine · 2020
    Article
  7. Splenic Rupture following Transnasal Endoscopy.GE Portuguese journal of gastroenterology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sandra BarbeiroDepartment of Gastroenterology, Centro Hospitalar de Leiria/Pombal, Leiria, Portugal.
Catarina Atalaia-MartinsDepartment of Gastroenterology, Centro Hospitalar de Leiria/Pombal, Leiria, Portugal.
Pedro MarcosDepartment of Gastroenterology, Centro Hospitalar de Leiria/Pombal, Leiria, Portugal.
João NobreDepartment of Surgery, Centro Hospitalar de Leiria/Pombal, Leiria, Portugal.
Cláudia GonçalvesDepartment of Gastroenterology, Centro Hospitalar de Leiria/Pombal, Leiria, Portugal.
Cristina AnicetoDepartment of Surgery, Centro Hospitalar de Leiria/Pombal, Leiria, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Splenic rupture is a rare but serious complication after colonoscopy, with high global mortality (5%). Diagnosis requires a high index of suspicion because presentation can be subtle, nonspecific, and delayed from hours to days and then not easily attributed to a recent endoscopy. Urgent splenectomy is the most common treatment option. A 73-year-old woman was admitted to the emergency department 8 h following a diagnostic colonoscopy. She presented abdominal pain and syncope. The diagnosis of splenic rupture was made and a splenectomy was urgently performed. The patient's postoperative recovery was uneventful. Splenic rupture is a rare complication of colonoscopy which cannot be underestimated in the differential diagnosis of abdominal pain after this procedure. Splenic injuries may occur in apparently uncomplicated, easy colonoscopies performed by experienced endoscopists, with no risk factors identified, as in this case.

Indexed as

Colonoscopy/adverse effectsSplenectomySplenic rupture/etiology

Identifiers

PMID29255749
PMCPMC5729854

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.