Hemoperitoneum as a Consequence of Colonoscopy.
Hemoperitoneum as a Consequence of Colonoscopy.
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DOI：
10.14309/crj.2016.76
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发表时间：
2016-08
影响因子：
0.7
通讯作者：
Chuang KY
中科院分区：
文献类型：
--
作者：
Khosla M;Webster L;Ahmad K;Chuang KY
无器官损害的腹膜积血是结肠镜检查的罕见并发症。最常见的是与脾结肠韧带牵引导致的脾破裂有关。在我们的病例中，我们报告了一位48岁的肝硬变患者，他在诊断为缺铁性贫血的结肠镜检查中出现腹膜出血。然而，他没有脾损伤或结肠穿孔的迹象。根据手术后进行的计算机断层扫描，我们认为最有可能的出血来源是门腔静脉侧支血管破裂。
Hemoperitoneum without evidence of organ damage is a rare complication of colonoscopy. It is most frequently seen in association with splenic rupture due to traction on the splenocolic ligament. In our case, we present a 48-year-old cirrhotic man who developed peritoneal bleeding during a diagnostic colonoscopy for iron deficiency anemia. However, he was without signs of splenic damage or colon perforation. We suggest that the most likely source of bleeding is a ruptured portal-caval collateral vessel based on a computed tomography performed following the procedure.