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World J Gastroenterol. Jul 28, 2014; 20(28): 9618-9620
Published online Jul 28, 2014. doi: 10.3748/wjg.v20.i28.9618
Published online Jul 28, 2014. doi: 10.3748/wjg.v20.i28.9618
Severe splenic rupture after colorectal endoscopic submucosal dissection
Alberto Herreros de Tejada, Pilar Matallanos, Esther Blázquez, Jose L Calleja, Luis E Abreu, Department of Gastroenterology, IDIPHIM, Puerta de Hierro University Hospital, 28222 Madrid, Spain
Luis Giménez-Alvira, Department of Surgery, IDIPHIM, Puerta de Hierro University Hospital, 28222 Madrid, Spain
Enrique Van den Brule, Department of Radiology, IDIPHIM, Puerta de Hierro University Hospital, 28222 Madrid, Spain
Rosario Sánchez-Yuste, Department of Pathology, IDIPHIM, Puerta de Hierro University Hospital, 28222 Madrid, Spain
Author contributions: Herreros de Tejada A, Giménez-Alvira L, Van den Brule E and Sánchez-Yuste R wrote the manuscript and provided the original pictures; Matallanos P, Blázquez E, Calleja JL and Abreu LE reviewed the manuscript.
Correspondence to: Alberto Herreros de Tejada, MD, PhD, Department of Gastroenterology, IDIPHIM, Puerta de Hierro University Hospital, Joaquin Rodrigo, 2 Majadahonda, 28222 Madrid, Spain. albertoherreros@yahoo.com
Telephone: +34-911-917909 Fax: +34-911-916729
Received: December 13, 2013
Revised: January 7, 2014
Accepted: March 5, 2014
Published online: July 28, 2014
Revised: January 7, 2014
Accepted: March 5, 2014
Published online: July 28, 2014
Core Tip
Core tip: Splenic rupture after colonoscopy is a very rare but potentially serious complication. This is a case of a 65-year-old woman who suffered severe splenic rupture after colorectal endoscopic submucosal dissection (ESD) for lateral spreading tumor in the descending colon. Colorectal ESD is usually a long and position-demanding technique, implying torquing and loop formation. To our knowledge this is the first case of splenic rupture after colorectal ESD reported in the literature.