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
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.
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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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