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Splenic Injury After a Colonoscopy: Threading the Scope Carefully in Heritable Connective Tissue Disorders
- Source :
- Cureus
- Publication Year :
- 2021
- Publisher :
- Cureus, Inc., 2021.
-
Abstract
- Colonoscopies have reduced colorectal cancer (CRC) burden in the United States, and their utility has expanded to include various diagnostic and therapeutic indications. Complications are seen in up to 1% and increase with age and polypectomy. As colonoscopies become widespread, specific populations seem to be at a much higher risk; notably patients with heritable connective tissue disorders (HCTD). As life expectancy increases, these patients undergo routine screenings and require careful peri-endoscopic care to reduce adverse outcomes. Amongst HCTD, Ehlers-Danlos syndrome (EDS) is commonly implicated, however, no reports of Marfan syndrome (MS) exist. We present a unique case of splenic injury after colonoscopy in a patient with MS. Successful outcomes require early suspicion and emergent surgical evaluation in patients with hemodynamic instability after a colonoscopy. Increased ligament laxity and bowel fragility are the most likely mechanisms. Alternative CRC strategies like fecal immunochemical test (FIT), fecal occult, Cologuard, or virtual colonography can be considered.
- Subjects :
- Marfan syndrome
Connective Tissue Disorder
medicine.medical_specialty
Colorectal cancer
medicine.medical_treatment
Connective tissue
Colonoscopy
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
connective tissue disorder
Internal medicine
medicine
In patient
medicine.diagnostic_test
business.industry
Gastroenterology
General Engineering
medicine.disease
Occult
Polypectomy
medicine.anatomical_structure
colonoscopy complications
colon polypectomy
marfan disease
business
ehlers danlos
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21688184
- Database :
- OpenAIRE
- Journal :
- Cureus
- Accession number :
- edsair.doi.dedup.....cc8ac3769f0ec22324ff8ff5c2d18371