진단적 대장내시경 후 비장 동맥 파열로 인한 혈복강 1예
Hemoperitoneum with Splenic Artery Rupture Following Diagnostic Colonoscopy
강여울, 이종윤, 이종훈,
소속 상세정보
강여울 ( Kang Yeo-Wool )
Dong-A University Hospital Department of Internal Medicine
이종윤 ( Lee Jong-Yoon )
Dong-A University Hospital Department of Internal Medicine
이종훈 ( Lee Jong-Hoon )
Dong-A University Hospital Department of Internal Medicine
Abstract
Colonoscopy is a safe and extremely popular diagnostic and therapeutic procedure. The most common complications are bleeding and perforation. Hemoperitoneum is a rare complication after a colonoscopy and is usually associated with splenic injury or solid organ pathology. This is potentially serious and can be life threatening. With the increasing number of colonoscopies performed, there has also been an increasing trend in reports of rare complications, such as pneumothorax, pneumomediastinum, appendicitis, small bowel perforation, septicemia, mesenteric tear, retroperitoneal abscess, and hemoperitoneum. This paper reports a unique case of hemoperitoneum after a recent colonoscopy without a splenic rupture or intra-abdominal abnormality, or external trauma. Most hemoperitoneum occurs within 48 hours after the inciting colonoscopy. In the present case, however, hemoperitoneum appeared 10 days after the colonoscopy. This case emphasizes that physicians should consider hemoperitoneum in a differential diagnosis of abdominal pain in patients after colonoscopy.
키워드
Hemoperitoneum; Colonoscopy; Splenic artery; Angiography
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