Colonic manometry probe

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Post colonoscopy abdominal pain and pain in left shoulder joint.

Patient Data

Age: 60-65Y
Gender: Female

What is the hardware seen here?

Modality: X-ray

Motility probe overlying the colon. Endoscopy mucosal clips are also seen which are used as anchors. No free peritoneal air is seen.

Case Discussion

Patient had a CT scan after this which showed splenic rupture and bleeding and intraperitoneal bleeding from the procedure. No free air.

The patient had a large volume hemoperitoneum from a ruptured subcapsular hematoma of the spleen following a colonoscopy requiring emergent ex-lap.  
     
Procedure performed:

  1. Exploratory laparotomy
  2. Splenectomy
  3. Mobilization of the splenic flexure
  4. Abdominal washout.
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Case Information

rID: 49316
Case created: 19th Nov 2016
Last edited: 20th Nov 2016
Inclusion in quiz mode: Included

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