Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. May 10, 2016; 8(9): 391-394
Published online May 10, 2016. doi: 10.4253/wjge.v8.i9.391
First report of splenic rupture following deep enteroscopy
Carlo Maria Girelli, Roberta Pometta, Corinna Facciotto, Roberto Mella, Giordano Bernasconi
Carlo Maria Girelli, Giordano Bernasconi, Gastroenterology and Digestive Endoscopy Unit, Hospital of Busto Arsizio, 21052 Busto Arsizio (VA), Italy
Roberta Pometta, Corinna Facciotto, Roberto Mella, Division of Internal Medicine, Hospital of Angera, 21021 Angera (VA), Italy
Author contributions: Girelli CM wrote a section of the manuscript and performed deep enteroscopy; Pometta R wrote a section of the manuscript and performed upper and lower endoscopy; Facciotto C was the referring physician who provided clinical details; Mella R performed capsule endoscopy; Bernasconi G wrote a section of the manuscript; all co-authors read and approved the final version of the manuscript.
Institutional review board statement: This case report was exempt from the Istitutional Review Board standards at Hospital of Busto Arsizio (Italy).
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: All authors have no conflict of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Carlo Maria Girelli, MD, Head of the IBD Unit, Gastroenterology and Digestive Endoscopy Unit, Hospital of Busto Arsizio, Via Arnaldo da Brescia, 1, 21052 Busto Arsizio (VA), Italy. cargirel@gmail.com
Telephone: +39-03-31699261 Fax: +39-03-31699265
Received: January 8, 2016
Peer-review started: January 12, 2016
First decision: February 2, 2016
Revised: February 17, 2016
Accepted: March 7, 2016
Article in press: March 9, 2016
Published online: May 10, 2016
Abstract

Splenic rupture is a rare complication of diagnostic and therapeutic gastrointestinal endoscopy procedures. Herein, we report for the first time a case of splenic rupture following therapeutic retrograde double-balloon enteroscopy, which occurred in an 85-year-old man who was treated for recurrent mid-intestinal bleeding that resulted from ileal angioectasia. This patient promptly underwent an operation and eventually recovered.

Keywords: Angioectasia, Artero-venous malformation, Capsule endoscopy, Complication, Deep enteroscopy, Device assisted enteroscopy, Double balloon enteroscopy, Mid gastrointestinal bleeding, Obscure gastrointestinal bleeding, Small bowel, Splenic injury, Splenic rupture

Core tip: Splenic rupture is a rare, devastating complication of colonoscopy. For the first time, we report a case of splenic rupture following therapeutic retrograde double-balloon enteroscopy.