Are There Risk Factors for Splenic Rupture During Colonoscopy? Case Report and Literature Review
|Garancini Mattia1*, Maternini Matteo1, Romano Fabrizio1, Uggeri Fabio1, Dinelli Marco2 and Uggeri Franco1|
|1Department of General Surgery, San Gerardo Hospital, University of Milano Bicocca, Monza (MI), Italy|
|2Department of Digestive Endoscopy, San Gerardo Hospital, University of Milano Bicocca, Monza (MI), Italy|
|Corresponding Author :||Garancini Mattia, MD
Department of General Surgery
San Gerardo Hospital, University of Milano Bicocca
Via Pergolesi 33, 20052, Monza (MI), Italy
Tel: 039 233 3600
Fax: 039 233 3600
|Received September 22, 2011; Accepted November 11, 2011; Published November 13, 2011|
|Citation: Garancini M, Maternini M, Romano F, Uggeri F, Dinelli M, et al. (2011) Are There Risk Factors for Splenic Rupture During Colonoscopy? Case Report and Literature Review. J Gastroint Dig Syst S2:001. doi: 10.4172/2161-069X.S2-001|
|Copyright: © 2011 Mattia G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Splenic rupture is an uncommon but potentially fatal complication of colonoscopy.
Objectives: A case of splenic rupture during colonoscopy is reported and a review of literature is presented focusing the attention on evaluation of potential risk factors.
Case Report: We report the case of a 77 years old man who developed splenic rupture during colonoscopy diagnosed with CT scan and treated with splenectomy.
Results: More than 70 articles and more than 90 cases were found in the world literature; the review revealed that splenic rupture occurred more frequently in female, CT scan was the treatment was the referring diagnostic procedure in the large part of cases, splenectomywas the treatment of choice. On the other side none of the analyzed factor appeared as meaningful risk factors.
Conclusion: The knowledge of this complication is the best tool to aid in early diagnosis. Evaluation of hemodinamic status and CT scan play remarkable roles to resolve to the correct management and splenectomy remains the option chosen in the most part of cases.