结肠镜检查致脾破裂1例  

Spleen rupture caused by colonoscopy:A case report

作　　者：谈涛 刘胜新 金雷 Tao Tan;Sheng-Xin Liu;Lei Jin(Department of Gastroenterology,Third People’s Hospital of Hubei Province,Jianghan University,Wuhan 430300,Hubei Province,China;Department of Gastrointestinal Surgery,Third People’s Hospital of Hubei Province,Jianghan University,Wuhan 430300,Hubei Province,China)

机构地区：[1]江汉大学附属湖北省第三人民医院消化内科,湖北省武汉市430300 [2]江汉大学附属湖北省第三人民医院胃肠外科,湖北省武汉市430300

出　　处：《世界华人消化杂志》2024年第6期453-456,共4页World Chinese Journal of Digestology

摘　　要：背景脾破裂是结肠镜检查严重并发症,但发生率很低,属于结肠镜检查罕见并发症,易导致误诊,漏诊,并未引起临床医生足够重视.病例简介本例患者结肠镜检查后出现腹痛、休克表现,经腹部电子计算机断层扫描检查、剖腹探查确定为脾破裂,后经外科手术患者转危为安.结肠镜检查后出现腹痛、休克等表现时,应引起临床医生高度警觉,早期识别、早期诊断、早期干预是改善患者预后的关键.结论结肠镜检查是诊断结直肠疾病最常见的方法,出血和穿孔的结肠镜检查常见并发症.结肠镜检查并发脾破裂,虽然罕见,但可能出现严重后果,应引起临床高度重视.对于结肠镜检查后出现腹痛、休克等症状时,临床医生应考虑脾破裂可能,以免造成误诊.BACKGROUND Spleen rupture is a serious complication of colonoscopy,but its incidence rate is very low and it is very rare in the clinic,which easily leads to misdiagnosis and missed diagnosis.CASE SUMMARY A patient experienced abdominal pain and shock after colonoscopic examination.Subsequent abdominal computed tomography scans and exploratory laparotomy confirmed a ruptured spleen.The patient underwent surgical intervention and was successfully managed.When abdominal pain and shock appear after colonoscopy,clinicians should be highly alert to the possibility of spleen rupture.Early identification,early diagnosis,and early intervention are the keys to impro-ving the prognosis of patients.CONCLUSION Colonoscopy is the most common method for diagnosing colorectal diseases,with bleeding and perforation being common complications of this procedure.Although rare,splenic rupture as a complication of colonoscopy can lead to serious consequences and should be given high clinical attention.When patients exhibit symptoms such as abdominal pain and shock following a colonoscopy,clinicians should consider the possibility of splenic rupture to avoid misdiagnosis.

关 键 词：结肠镜检查 并发症 脾破裂 

分 类 号：R657.62[医药卫生—外科学]