A case report of delayed intra-abdominal and intra-luminal haemorrhage after polypectomy.
Z Gastroenterol
; 55(10): 1009-1013, 2017 Oct.
Article
en En
| MEDLINE
| ID: mdl-29020700
ABSTRACT
We report the case of a 70-year-old man who presented with hematochezia, anaemia, and severe abdominal pain 6 days after polypectomy. Contrast-enhanced ultrasound and computed tomography revealed no signs of free intra-abdominal air but showed intra-abdominal and intra-luminal bleeding. The patient was referred to colonoscopy in the operation room, which showed a coagula and venous bleeding at the polypectomy site. Emergency laparotomy was performed and revealed a large intra-abdominal mesocolic hematoma, which was surgically removed. The patient's post-operative recovery was uneventful. While few reports of splenic vessel rupture after colonoscopy due to traction on the splenocolic ligament have been published, delayed mesocolic hematoma without evidence of organ damage has not been reported so far. Clinicians need to be aware of these rare but life-threatening complications following colonoscopy.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Pólipos del Colon
/
Colonoscopía
/
Hemorragia Posoperatoria
/
Hematoma
/
Hemorragia Gastrointestinal
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Z Gastroenterol
Año:
2017
Tipo del documento:
Article
País de afiliación:
Alemania