PDF(Pubmed)
Abstract：
Colonoscopy is a common procedure for screening of colon cancer. Although complications are rare, recently there have been reports of splenic injury associated with colonoscopy. Its causes are not clear. Herein, we report an 84-year-old man who underwent a colonoscopy for an annual routine examination. The colonoscopy was performed with moderate difficulty due to loop formation and took about 50 min. After the examination, he developed syncope, sweating, and abdominal distention with low blood pressure. Plain computed tomography revealed ascites, and the patient was hospitalized with close monitoring. The following day, his hemoglobin level was decreased by about 3.0 g/dL. Contrast-enhanced computed tomography revealed the splenic injury. The patient was hemodynamically stable and was treated conservatively. Splenic injury is an uncommon complication of colonoscopy; however, it may cause hemodynamic instability. Physicians performing colonoscopies should be aware of this potential complication.
摘要：
结肠镜检查是结肠癌筛查的常用方法。虽然并发症很少见，最近有与结肠镜检查相关的脾损伤的报道。其原因尚不清楚。在这里，我们报道了一名84岁的男性患者,他接受了结肠镜检查以进行年度常规检查.结肠镜检查由于环形成而具有中等难度并且花费约50分钟。检查结束后,他得了晕厥,出汗,和低血压的腹胀。平扫计算机断层扫描显示腹水，患者在密切监测下住院。第二天,他的血红蛋白水平降低了约3.0g/dL.对比增强计算机断层扫描显示脾损伤。患者血流动力学稳定，接受保守治疗。脾损伤是结肠镜检查的罕见并发症；然而，它可能导致血流动力学不稳定。进行结肠镜检查的医生应该意识到这种潜在的并发症。
