179
views
0
recommends
+1 Recommend
1 collections
    0
    shares

      To submit to this journal, click here

      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Complication rare de la coloscopie chez un patient sous anticoagulant: hemopéritoine par rupture d'un hématome sous capsulaire de la rate, cas clinique Translated title: Rare complication of colonoscopy in a patient on anticoagulant: haemoperitoneum by rupture of a subcapsular hematoma of the spleen, clinical case

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          La coloscopie à visée diagnostique et/ou thérapeutique est un examen invasif fréquemment pratiquée de nos jours. La perforation colique et l'hémorragie digestive en sont les principales complications. La survenue d'un hémopéritoine par rupture d'un hématome sous-capsulaire splénique est une complication extrêmement rare et potentiellement mortelle de la coloscopie. Un traumatisme splénique minime passé inaperçu et la prise d'anticoagulant en sont des facteurs favorisants. Nous présentons le cas d'une rupture d'un hématome sous-capsulaire de la rate après une coloscopie, survenue chez un patient de 70 ans porteur d'une valve mitrale mécanique sous acénocoumarol à dose hypocaogulante. La nécessité d'obtention d'une anti coagulation rapidement efficace et l'instabilité hémodynamique avaient justifiée la réalisation d'une splénectomie. L’évolution était favorable. A travers cette observation clinique nous discutons les mécanismes et les modalités de prise en charge devant cette complication.

          Related collections

          Most cited references16

          • Record: found
          • Abstract: not found
          • Article: not found

          A life threatening complication after colonoscopy.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Current advances in the surgical approach to abdominal trauma.

            The management of abdominal injury has changed dramatically during the past two decades. This review examines the historic perspectives and recent developments of diagnosis and treatment of liver injuries, splenic injuries, and pancreatic injuries. The incorporation of non-operative management for liver injuries has had a very positive effect on mortality. Likewise, splenic conservative therapy is routinely used. The early treatment of pancreatic injury has changed very little; however, the ability to recognize these difficult injuries has improved with higher quality CT scanning. The authors present their preferred treatment for these three common types of abdominal solid organ injury and present an illustrative case example.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Nonoperative management of splenic injuries: have we gone too far?

              Patients with severe blunt injuries to the spleen have a high likelihood of failing nonoperative management of splenic injuries (NOMSI). Review of medical records, helical computed tomographic imaging data, and trauma registry data. Academic level I trauma center at a large county hospital. A total of 105 patients with blunt trauma to the spleen, admitted between January 1995 and December 1998, who survived more than 48 hours and had complete records. Of these patients, 53 (56%) were selected for NOMSI. The splenic injury was graded by the Organ Injury Scale of the American Association for the Surgery of Trauma (grades I to V, with grade V being the worst possible injury). Failure of NOMSI, defined as the need for operation to the spleen after a period of nonoperative management. Compared with patients who had successful NOMSI, the 29 patients (52%) in whom NOMSI failed were older and more severely injured. They also required extra-abdominal operations more frequently, underwent transfusion with more units of blood while being managed nonoperatively, and had higher grades of splenic injury. Splenic injury grade III or higher and transfusion of more than 1 U of blood were identified as independent risk factors for failure of NOMSI. The existence of both risk factors predicted failure in 97% of cases. The grading by computed tomography correlated well with the actual injury to the spleen as seen at operation. In patients with high-grade splenic injuries who require a transfusion of more than 1 U of blood, NOMSI is very likely to fail. Decreasing the threshold for operation or intensifying the monitoring is highly recommended for such patients.
                Bookmark

                Author and article information

                Journal
                Pan Afr Med J
                Pan Afr Med J
                PAMJ
                The Pan African Medical Journal
                The African Field Epidemiology Network
                1937-8688
                31 July 2015
                2015
                : 21
                : 232
                Affiliations
                [1 ]Service d'Anesthésie Réanimation A4, CHU Hassan II, Fès, Maroc
                [2 ]Service de Gastroentérologie, CHU Hassan II, Fès, Maroc
                [3 ]Service de Chirurgie Viscérale, CHU Hassan II, Fès, Maroc
                [4 ]Service de Radiologie, CHU Hassan II, Fès, Maroc
                Author notes
                [& ]Corresponding author: Sbai Hicham, Service d'Anesthésie Réanimation A4, Centre Hospitalier Universitaire Hassan II, route Sidi Harazem, Fès, Maroc
                Article
                PAMJ-21-232
                10.11604/pamj.2015.21.232.1920
                4607983
                26523174
                633d96f9-3a63-448c-befb-12bcc6165510
                © Hicham Sbai et al.

                The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 August 2012
                : 19 March 2013
                Categories
                Case Report

                Medicine
                hématome sous-capsulaire de la rate,coloscopie,anticoagulant,splénectomie,réanimation,subcapsular hematoma of the spleen,colonoscopy,splenectomy,reanimation

                Comments

                Comment on this article