Ullah W, Rashid MU, Mehmood A, Zafar Y, Hussain I, Sarvepalli D, Hasan MK. Splenic injuries secondary to colonoscopy: Rare but serious complication. World J Gastrointest Surg 2020; 12(2): 55-67 [PMID: 32128029 DOI: 10.4240/wjgs.v12.i2.55]
Corresponding Author of This Article
Mamoon Ur Rashid, MBBS, MD, Doctor, Medical Resident, Department of Internal Medicine, Advent Health Hospital, 2501 North Orange Avenue, Orlando, FL 32804, United States. mamoon.rashid.md@adventhealth.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
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/
World J Gastrointest Surg. Feb 27, 2020; 12(2): 55-67 Published online Feb 27, 2020. doi: 10.4240/wjgs.v12.i2.55
Splenic injuries secondary to colonoscopy: Rare but serious complication
Waqas Ullah, Mamoon Ur Rashid, Asif Mehmood, Yousaf Zafar, Ishtiaq Hussain, Deepika Sarvepalli, Muhammad Khalid Hasan
Waqas Ullah, Department of Internal Medicine, Abington Hospital, Abington, PA 19001, United States
Mamoon Ur Rashid, Deepika Sarvepalli, Department of Internal Medicine, Advent Health Hospital, Orlando, FL 32804, United States
Asif Mehmood, Department of Internal Medicine, Geisinger Medical Center, Danville, PA 17822, United States
Yousaf Zafar, Department of Internal Medicine, UMKC, 5100 Rockhill Rd, Kansas City, MO 64110, United States
Ishtiaq Hussain, Department of Gastroenterology, Cleveland Clinic, Weston, FL 33331, United States
Muhammad Khalid Hasan, Department of Gastroenterology, Advent Health Hospital, Orlando, FL 32804, United States
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest. No financial support.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
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/
Corresponding author: Mamoon Ur Rashid, MBBS, MD, Doctor, Medical Resident, Department of Internal Medicine, Advent Health Hospital, 2501 North Orange Avenue, Orlando, FL 32804, United States. mamoon.rashid.md@adventhealth.com
Received: September 6, 2019 Peer-review started: September 6, 2019 First decision: September 28, 2019 Revised: November 23, 2019 Accepted: December 14, 2019 Article in press: December 14, 2019 Published online: February 27, 2020 Processing time: 132 Days and 9.1 Hours
Core Tip
Core tip: Colonoscopy is a safe diagnostic and therapeutic procedure for evaluation of large bowel diseases. Rarely, a splenic Injury can occur. We perform a structured search on four databases and selected 45 articles with 68 patients. The reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients were identified and analyzed. 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. Spleen 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.
