Barış SEVİNÇ, Ahmet OKUŞ, Serden AY, Mehmet Ali ERYILMAZ, Ömer KARAHAN

Splenic Rupture after Colonoscopy

Kolonoskopi, Kolorektal hastalıkların tanısında, düşük kmlikasyon oranına sahip ve güvenli olmasıyla altın standart yöntem olarak kabul edilmektedir. Dalak rüptürü kolonoskopinin nadir bir komplikasyonu olarak bildirilmektedir. Burada sunulan hasta, 57 yaşında hematokezya şikayeti olan bir erkek hastadır. Hastaya yapılan kolonoskopide sigmoid kolonda tümöral lezyon tespit edildi. Kolonoskopi sonrası akut batın bulguları gözlenen hasta ameliyata alındı. Ameliyatta, dalak rüptürü tespit edilerek, hastaya subtotal kolektomi ve splenektomi yapıldı. Dalak rüptürü kolonoskopiye bağlı nadir görülen ancak ölümcül bir komplikasyondur. Kolonoskopi sonrası karın ağrısı olan hastalarda dalak rüptürü olabileceği akılda tutulmalıdır

Anahtar Kelimeler:

Dalak rüptürü, kolonoskopi, komplikasyon

Splenic Rupture after Colonoscopy

Colonoscopy is the gold standard in diagnosis of colorectal diseases. It is generally a safe procedure with low complication rate. Splenic rupture is a very rare complication of colonoscopy. The case presented here, is a 57 years old male patient with complaint of hematochesia. He had colonoscopy and diagnosed as sigmoid colon tumor. After colonoscopy he had the findings of acute abdomen. At the operation splenic rupture was detected and he had undergone splenectomy with subtotal colectomy for the sigmoidal tumor. Splenic rupture is very rare but fatal complication of colonoscopy. In the management of patients with post-colonoscopy abdominal pain splenic injury should be kept in mind.

Keywords:

Splenic rupture, colonoscopy, complication,

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