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Moderate Splenic Injury Caused by Colonoscopy
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- Ayaki Kana
- Department of Internal Medicine, National Defense Medical College, Japan
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- Higashiyama Masaaki
- Department of Internal Medicine, National Defense Medical College, Japan
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- Oguro Takuma
- Department of Internal Medicine, National Defense Medical College, Japan
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- Ito Suguru
- Department of Internal Medicine, National Defense Medical College, Japan
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- Tanemoto Rina
- Department of Internal Medicine, National Defense Medical College, Japan
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- Tomioka Akira
- Department of Internal Medicine, National Defense Medical College, Japan
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- Nishimura Hiroyuki
- Department of Internal Medicine, National Defense Medical College, Japan
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- Yoshidome Yuta
- Department of Internal Medicine, National Defense Medical College, Japan
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- Tahara Hiroyuki
- Department of Internal Medicine, National Defense Medical College, Japan
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- Narimatsu Kazuyuki
- Department of Internal Medicine, National Defense Medical College, Japan
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- Komoto Shunsuke
- Department of Internal Medicine, National Defense Medical College, Japan
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- Tomita Kengo
- Department of Internal Medicine, National Defense Medical College, Japan
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- Hokari Ryota
- Department of Internal Medicine, National Defense Medical College, Japan
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Description
<p>Little is known about iatrogenic splenic injury (SI) as an adverse event after colonoscopy. SI is sometimes fatal because of hemorrhaging. We herein report a man who developed SI after colonoscopy. He recovered conservatively. His history of left hydronephrosis and insertion with a maximally stiffened scope were suspected as possible risk factors. Endoscopists should consider the possibility of SI when they encounter patients suffering from left-sided abdominal pain after colonoscopy. Careful interview concerning the medical history and gentle maneuvering around the splenic flexure can help avoid SI. </p>
Journal
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- Internal Medicine
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Internal Medicine 63 (3), 379-383, 2024-02-01
The Japanese Society of Internal Medicine