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Paul F. Gores, MD; Lee A. Simso, MD

Arch Surg. 1989;124(11):1342.

Abstract
• Splenic injury was associated with a flexible fiberoptic colonoscopy and required an urgent splenectomy. Injuries to viscera other than the colon during colonoscopy are rare, and the diagnosis is frequently delayed. Excessive traction on the splenocolic ligament or on preexisting adhesions, resulting in capsular tears, is the presumed mechanism of injury. Although computed tomography may be helpful, the greatest aid to an early diagnosis is the knowledge that this complication may occur.

(Arch Surg. 1989;124:1342)

Author Affiliations
From the Department of Surgery, University of Minnesota Medical School, Minneapolis (Dr Gores), and the Department of Surgery, Park Nicollet Medical Center, Minneapolis (Dr Simso).

Footnotes
Accepted for publication March 27, 1989.

Reprint requests to Department of Surgery, Box 31, University of Minnesota Health Center, 420 Delaware St, Minneapolis, MN 55455 (Dr Gores).

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