GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Colonic manometry probe

Case contributed by Jayanth Keshavamurthy
Diagnosis certain

Presentation

Post colonoscopy abdominal pain and pain in left shoulder joint.

Patient Data

Age: 60-65Y
Gender: Female

What is the hardware seen...

x-ray

What is the hardware seen here?

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.