Iatrogenic Sinistral Hypertension Complicating Screening Colonoscopy
Joint Authors
Ziff, Oliver J.
Shapiro, A. M. James
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-08-19
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Colonoscopy is widely accepted as the gold-standard screening technique for detecting malignancies in the distal gastrointestinal tract in patients with symptoms suggestive of colon cancer.
However, this procedure is not without risk, including colonic perforation.
We report a patient who was managed conservatively after colonoscopy induced perforation.
Eighteen months after appearing to make a full recovery, he presented with an upper gastrointestinal bleed.
Oesophago-gastro-duodenoscopy (OGD) revealed large gastric fundal varices and computed tomography (CT) revealed splenic vein thrombosis.
The ensuing left-sided (sinistral) hypertension explains the development of the fundal varices in the presence of normal liver function.
At surgery, a persistent abscess cavity was identified and cultures from this site grew Streptococcus anginosus.
Curative splenectomy was performed and the patient made a full recovery.
We advocate more prompt operative intervention in selected cases of iatrogenic colonic perforation with primary repair to prevent late complications.
American Psychological Association (APA)
Ziff, Oliver J.& Shapiro, A. M. James. 2013. Iatrogenic Sinistral Hypertension Complicating Screening Colonoscopy. Case Reports in Surgery،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-491260
Modern Language Association (MLA)
Ziff, Oliver J.& Shapiro, A. M. James. Iatrogenic Sinistral Hypertension Complicating Screening Colonoscopy. Case Reports in Surgery No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-491260
American Medical Association (AMA)
Ziff, Oliver J.& Shapiro, A. M. James. Iatrogenic Sinistral Hypertension Complicating Screening Colonoscopy. Case Reports in Surgery. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-491260
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-491260