Colonic manometry probe
Post colonoscopy abdominal pain and pain in left shoulder joint.
What is the hardware seen here?
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Motility probe overlying the colon. Endoscopy mucosal clips are also seen which are used as anchors. No free peritoneal air is seen.
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.
- Exploratory laparotomy
- Mobilization of the splenic flexure
- Abdominal washout.
- 1. Lee YY, Erdogan A, Rao SS. How to perform and assess colonic manometry and barostat study in chronic constipation. Journal of neurogastroenterology and motility. 20 (4): 547-52. doi:10.5056/jnm14056 - Pubmed
- 2. Rao SS, Singh S, Sadeghi P. Is endoscopic mucosal clipping useful for preventing colonic manometry probe displacement?. Journal of clinical gastroenterology. 44 (9): 620-4. doi:10.1097/MCG.0b013e3181d04899 - Pubmed