Maniere T, Aboudan C, Deslauriers N, Pichette M, Bergeron E. First splenic rupture following an endoscopic esophageal myotomy: A case report. World J Gastrointest Endosc 2021; 13(6): 184-188 [PMID: 34163565 DOI: 10.4253/wjge.v13.i6.184]
Corresponding Author of This Article
Eric Bergeron, MD, MSc, Surgeon, Department of General Surgery, Charles-LeMoyne Hospital, 3120 Boulevard Taschereau, Greenfield Park J4V2H1, Quebec, Canada. erb_taz2001@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jun 16, 2021; 13(6): 184-188 Published online Jun 16, 2021. doi: 10.4253/wjge.v13.i6.184
First splenic rupture following an endoscopic esophageal myotomy: A case report
Thibaut Maniere, Chadi Aboudan, Nancy Deslauriers, Maude Pichette, Eric Bergeron
Thibaut Maniere, Chadi Aboudan, Department of Gastroenterology, Charles-LeMoyne Hospital, Greenfield Park J4V2H1, Quebec, Canada
Nancy Deslauriers, Maude Pichette, Eric Bergeron, Department of General Surgery, Charles-LeMoyne Hospital, Greenfield Park J4V2H1, Quebec, Canada
Author contributions: Maniere T, Aboudan C and Pichette M managed the case; Bergeron E and Maniere T reviewed the records; Maniere T, Aboudan C, Deslauriers N and Bergeron E participated in the writing of the manuscript; Maniere T, Aboudan C, Deslauriers N, Pichette M and Bergeron E contributed to the discussion of the article.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eric Bergeron, MD, MSc, Surgeon, Department of General Surgery, Charles-LeMoyne Hospital, 3120 Boulevard Taschereau, Greenfield Park J4V2H1, Quebec, Canada. erb_taz2001@yahoo.com
Received: January 18, 2021 Peer-review started: January 18, 2021 First decision: May 5, 2021 Revised: May 17, 2021 Accepted: May 25, 2021 Article in press: May 25, 2021 Published online: June 16, 2021
Abstract
BACKGROUND
The occurrence of splenic rupture is extremely rare during an upper gastro-intestinal endoscopy. Although infrequent, splenic rupture is a known complication secondary to colonoscopy. However, occurrence of splenic rupture after peroral endoscopic myotomy (POEM) has never been reported to date.
CASE SUMMARY
We describe a case of a splenic rupture following a POEM for recurrent achalasia in a patient who previously had a Heller myotomy. Splenic rupture remains very uncommon after an upper gastro-intestinal endoscopic procedure. The most plausible cause for this rare splenic injury appears to be the stretching of the gastro-splenic ligament during the endoscopy. A previous surgery may be a risk factor contributing to this complication.
CONCLUSION
The possibility for the occurrence of specific complications, such as splenic rupture, does exist even with the development of advanced endoscopic procedures, as presented in the present case after POEM.
Core Tip: Splenic rupture is extremely rare but may occur during an upper gastro-intestinal endoscopy. Occurrence of splenic rupture after peroral endoscopic myotomy (POEM) has never been reported to date. The first reported case of splenic rupture following a POEM is presented. This very unusual but severe complication will probably occur again as this procedure will continue to be developed and implemented. Physicians must be aware that splenic rupture can happen after POEM.
