Do they give you a catheter during a colonoscopy?
What happens during colonoscopy? Prior to the procedure, an intravenous catheter (IV) will be placed in a vein in your arm. Females of childbearing age may be asked to undergo a pregnancy test. Medicine (sedation) will be injected to help you feel relaxed and sleepy.
Can you get a ruptured spleen from a colonoscopy?
Splenic rupture can occur in a normal spleen after a technically demanding colonoscopy. Patients with a history of previous abdominal surgery or trauma are at increased risk for splenic injury due to the presence of splenocolic adhesions.
Can your spleen be injured during a colonoscopy?
Splenic injury upon colonoscopy, as initially described by Wherry and Zehner [2], is a rare, yet life-threatening complication. The most common aetiology is traction on the splenocolic ligament or excess manipulation during the procedure to advance the scope beyond the splenic flexure [3].
Is splenic injury from colonoscopy malpractice?
Splenic injury requiring splenectomy is a source of malpractice claims against colonoscopists.
Where is IV inserted for colonoscopy?
A needle for intravenous (IV) medicines will be placed in your arm vein before the procedure. Medicine will be injected through this needle that will make you sleepy and relaxed. As you lie on your left side, the doctor will examine your rectum with a gloved lubricated finger.
What happens if your spleen ruptures?
A ruptured spleen (a fist-sized organ located in the left upper abdomen) occurs when the surface of this organ is injured, which can lead to internal bleeding. Symptoms include pain in the abdomen and nausea. A ruptured spleen is treated with surgery if the patient has lost a large amount of blood.
How long after a colonoscopy can complications occur?
Most colonoscopy adverse events occur within 7 days, but even more occur beyond the 7-day period.
What happens if your colon is perforated during a colonoscopy?
After a regular colonoscopy, many patients experience some crampy abdominal pain because of retained air in the bowel. Intraperitoneal perforation can cause peritoneal irritation with rebound tenderness, rigidity of the abdomen, accompanied by fever, leukocytosis, and tachycardia.
What would happen if a patient’s bowel is perforated while undergoing a colonoscopy?
This unpleasant complication could result in operation, stoma formation, intra-abdominal sepsis, prolonged hospital stay, and even death.
What causes a spleen injury after a colonoscopy?
The most likely mechanism is tension on the splenocolic ligament or on pre-existing adhesions due to manipulations of the colon, or as a result of a direct injury to the spleen during passage through the splenic flexure. Intraperitoneal adhesions or any underlying splenic pathology may increase the risk.
What causes splenocolic adhesions during a colonoscopy?
Any cause of increased splenocolic adhesions, splenomegaly, or underlying splenic disease might be a predisposing factor for splenic injury during colonoscopy. However, it can occur in patients without significant adhesions or underlying splenic pathology.
What should a doctor do if a perforation occurs during a colonoscopy?
The fact that there was a perforation during your colonoscopy is, in all liklihood, not malpractice. It’s the FAILURE TO RECOGNIZE the hole that is often a departure from good care. When the patient called to complain, the first thing the doctor should have done is get the patient back into the office for an evaluation.
Where does a CT scan show a splenic injury?
CT scan of the abdomen and pelvis revealed splenic injury with a large amount of blood in the left upper quadrant, perihepatic region, and pelvic areas (Figure 1). Open in a separate window Figure 1.