Copyright ©The Author(s) 2024.
World J Gastroenterol. Feb 21, 2024; 30(7): 624-630
Published online Feb 21, 2024. doi: 10.3748/wjg.v30.i7.624
Table 1 Case reports of hepatic injuries during colonoscopy
Type of injury
Age, sex, and risk factors
Ellis et al[16], 1979Combined liver and spleen33-year-old female, her manifestations and colonoscopy findings were suggestive of IBDLeft upper quadrant followed by hemodynamic instabilitySurgicalThe spleen ruptured, laceration to left liver lobe, injury to mesocolon. Ruptured? IBD related adhesions were seen
Noreña et al[18], 2013Lone liver injury73-year-old male, undergoing a screening colonoscopySevere right upper abdominal pain radiating to lumbar region with abdominal distension and rigidityLaparoscopic evaluation and drainage were done with conservative managementA subcapsular hepatic hematoma and a right hepatic; lobe laceration as well as a large hemoperitoneum
Jammal et al[19], 2013Lone liver injury30-year-old woman undergoing screening colonoscopy for polypsRight upper quadrant pain radiating to the right scapulaConservativeAbdominal ultrasonography and CT achieved diagnosis of a subcapsular hematoma
Hussain et al[20], 2020Combined liver and spleenA 71-year-old woman with many medical co-morbidities had an EGD; and colonoscopy for nonspecific abdominal painBrought to emergency room in code blue hours after having colonoscopyEmergency laparotomy with splenectomy and hepatorrhaphyAdhesion of omentum to bilateral abdominal
wall and pelvis. The patient passed away dye to brain hypoxic events