ArticleWorld journal of gastrointestinal surgery2020
Splenic injuries secondary to colonoscopy: Rare but serious complication.
Article in World journal of gastrointestinal surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Splenic artery embolisation for splenic injury during colonoscopy: A systematic review.United European gastroenterology journal · 2024Pooled it
- Splenic Hematoma With Hemoperitoneum Following a Routine Colonoscopy: A Rare Post-procedural Complication.Cureus · 2026Article
- Article
- A case report of splenic rupture related to colonoscopy.Journal of surgical case reports · 2025Article
- Article
- Article
- A case report of splenic injury related to colonoscopy: Fortunately treated with conservative treatment.DEN open · 2024Article
- Trauma to the solid abdominal organs: The missed dark box of colonoscopy.World journal of gastroenterology · 2024Article
- B-cell hepatosplenic lymphoma presenting in adult patient after spontaneous splenic rupture followed by severe persistent hypoglycaemia: type B lactic acidosis and acute liver failure.BMJ case reports · 2023Article
- Hemoperitoneum after routine colonoscopy: A case report.International journal of surgery case reports · 2023Article
- Article
- Diagnostic nightmare: intra-intestinal bleed masks intra-abdominal bleed after colonoscopy.Journal of surgical case reports · 2023Article
- Splenic Injury After a Screening Colonoscopy.Cureus · 2022Article
- Impact of site of occlusion in proximal splenic artery embolisation for blunt splenic trauma.CVIR endovascular · 2022Article
- Article
- Splenic Injury After a Colonoscopy: Threading the Scope Carefully in Heritable Connective Tissue Disorders.Cureus · 2021Article
- Article
- Female with abdominal pain.Journal of the American College of Emergency Physicians open · 2020Article
- Left Shoulder Pain After Routine Colonoscopy: An Unusual Presentation of Splenic Laceration.Cureus · 2020Article
- Splenic Hematoma as a Rare Complication of Colonoscopy; a Case Report.Archives of academic emergency medicine · 2020Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColonoscopy is a safe and routine diagnostic and therapeutic procedure for evaluation of large bowel diseases. Most common procedure related complications include bleeding and perforation but rarely a splenic Injury.
aimTo investigate the reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients.
methodsA structured search on four databases was done and 45 articles with 68 patients were selected. The reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients were identified and analyzed using SPSS.
resultsThe mean age of the patients was 62.7 years with 64% females. Twenty two percent had a complete splenic rupture with colonoscopy while 63% had subcapsular hematoma, spleen laceration and spleen avulsion. The most common reason for colonoscopy was screening (46%) followed by diagnostic colonoscopy (28%). Eighty seven percent of patients presented with abdominal pain. Patients with spleen rupture mostly required splenectomy (47%), while minor spleen hematomas and lacerations were managed conservatively (38%). Six percent of the patients were managed with proximal splenic artery splenic embolization and 4% were managed with laparoscopic repair. The overall mortality was 10% while 77% had complete recovery. The reason of colonoscopy against presentation specifically, abdominal pain showed no statistical significance
conclusionSpleen rupture due to colonoscopy is a significant concern and is associated with high mortality. The management of the patients can be individualized based on clinical presentation.
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