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Title: Splenectomy post-splenic injury following dilatation of Roux-en-y enterostomy stomal stricture: an unexpected complication.
Austin Authors: Bennet, Simon;Spiro, Calista;Burlak, Kateryna;Lim, Hou-Kiat 
Affiliation: Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
Issue Date: 25-Mar-2021
Date: 2021-03-25
Publication information: BMJ Case Reports 2021; 14(3): e239882
Abstract: A 53-year-old woman presented in the early hours of the morning with generalised abdominal pain and features of hypovolaemic shock, following a dilatation of an enterostomy stricture 12 hours prior. Dilatation of this stricture was indicated by ongoing dysphagia, which had been successfully dilated twice before without incident. Standard resuscitative measures and confirmation of the endoscopically-caused splenic injury by CT scan were followed promptly by a splenectomy to control ongoing blood loss. The strictured enterostomy was revised to mitigate further need for endoscopic dilatation. The patient recovered well and was discharged shortly after on a soft diet.
DOI: 10.1136/bcr-2020-239882
ORCID: 0000-0002-1286-3132
Journal: BMJ Case Reports
PubMed URL: 33766965
Type: Journal Article
Subjects: endoscopy
gastrointestinal surgery
Appears in Collections:Journal articles

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