What is a Grade 5 splenic laceration?
Grade 5 is either a shattered spleen or complete devascularization of the entire spleen. These grades often guide treatment decisions, such as if observational or operative management is chosen for the spleen injury by the treating surgeon.
Can you damage the spleen during a colonoscopy?
Splenic injury after colonoscopy is a rare, yet life-threatening complication, most often caused by traction on the splenocolic ligament or excessive manipulation during the procedure.
Is splenic injury from colonoscopy malpractice?
Typically, Iatrogenic injury is a rare complication associated with colonoscopy. However, a colonoscopy is the most common cause of iatrogenic splenic injury (in comparison to other procedures or surgeries). The risk factors for splenic injury are both patient and operator dependent.
Can you get a ruptured spleen from a colonoscopy?
Splenic rupture following colonoscopy is rare, first reported in 1974, with incidence of 1–21/100,000. It is critical to anticipate splenic trauma during colonoscopy as one of the causes of abdominal pain after colonoscopy especially when located in the left upper quadrant or left shoulder.
When would you use a splenic laceration?
Operative management (OM) of splenic injuries should be performed in non-responder hemodynamic instable patients. This condition is frequently observed in high-ISS trauma, in high-grade lesions, and in patients with associated lesions.
What is a splenic laceration?
Splenic rupture occurs when the spleen is placed under intense pressure/duress, strong enough to tear or separate the outer lining of the organ. A ruptured spleen accounts for 10% of all abdominal injuries. When a blunt abdominal trauma is present, the spleen is the most frequently and often the only injured organ.
Why does my left side hurt after a colonoscopy?
Causes of splenic injury include: 1) tugging of adhesions between the spleen and splenic flexure of the colon; 2) excessive traction upon the splenocolic ligament; 3) extensive movement of the colon during difficult pass through of the colonoscope through the splenic flexure.
How long can you go with a ruptured spleen?
A ruptured spleen can be life-threatening if not treated promptly. Treatment options vary depending on the severity of the condition and can include rest and observation, surgical repair, or splenectomy. Recovery from a ruptured spleen can take anywhere from 3 to 12 weeks.
How do you get rid of splenic flexure syndrome?
There’s no specific treatment for this condition, but with lifestyle changes and proper diet you can improve and resolve your symptoms. In some cases, splenic flexure syndrome improves and goes away on its own from flatulence or consistent bowel movements.
What does a spleen injury feel like?
The main symptom of a ruptured spleen is severe pain in the abdomen, especially on the left side. The pain may also be referred to (felt in) the left shoulder, and can make breathing painful. Other symptoms, which are associated with a decrease in blood pressure due to internal bleeding, include: Feeling lightheaded.
How do you treat a splenic laceration?
There are two main types of treatment for a ruptured spleen: Surgical intervention and observation. Many people with a ruptured spleen experience serious bleeding that requires immediate surgery on the abdomen. The surgeon will cut open the abdomen and operate with a procedure called a laparotomy.
How serious is a lacerated spleen?
A ruptured spleen can cause life-threatening bleeding into your abdominal cavity.
Can a splenic tear occur after a colonoscopy?
Other rare complications include bacteremia, vasovagal problems, ileus, EKG abnormalities, mesenteric tears, pneumothorax, pneumoperitoneum, pneumoscrotum, and colonic volvulus.1,2,3 Splenic injury after colonoscopy is rare, serious, and may become a lethal complication of the procedure.
What causes splenocolic adhesions during a colonoscopy?
Any cause of increased splenocolic adhesions, splenomegaly, or underlying splenic disease might be a predisposing factor for splenic injury during colonoscopy. However, it can occur in patients without significant adhesions or underlying splenic pathology.
Where does a CT scan show a splenic injury?
CT scan of the abdomen and pelvis revealed splenic injury with a large amount of blood in the left upper quadrant, perihepatic region, and pelvic areas (Figure 1). Open in a separate window Figure 1.
What kind of pain does a colonoscopy cause?
A 56-year-old woman with a past medical history of asthma, cholecystectomy, and hysterectomy, underwent routine screening colonoscopy. Seven polyps were removed in the ascending, transverse, and sigmoid colon without difficulties. Eight hours later, the patient developed severe diffuse abdominal pain that progressively worsened.