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  • Splenectomy post-splenic injury following dilatation of Roux-en-y enterostomy stomal stricture: an unexpected complication

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Case report
Splenectomy post-splenic injury following dilatation of Roux-en-y enterostomy stomal stricture: an unexpected complication
  1. Simon Bennet1,
  2. Calista Spiro2,
  3. Kateryna Burlak3 and
  4. Hou Kiat Lim2
  1. 1Surgery, Austin Health, Heidelberg, Victoria, Australia
  2. 2Upper Gastrointestinal Surgery, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia
  3. 3Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
  1. Correspondence to Dr Simon Bennet; simonjxbennet{at}gmail.com

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.

  • endoscopy
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2020-239882

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    Footnotes

    • Contributors All authors have reviewed and approved the final draft. SB: review of literature, draft, acquisition of data, agree to be held accountable for data. CS: conception and design, revising critically, final approval, agree to be held accountable. KB: analysis of data, revising critically, final approval, agree to be held accountable. HKL: conception and design, revising critically, final approval, agree to be held accountable.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.