Medico-legal considerations in a case of splenic injury that occurred during colonoscopy

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• 作者：Chiara Zandonà ; MD (Forensic Physician) ; Stefania Turrina ; PhD ; ^{stefania.turrina@univr.it} (Forensic Scientist) ; Nicole Pasin ; MD (Forensic Physician) ; Domenico De Leo ; MD (Professor ; Director)
• 关键词：Colonoscopy ; Splenic injury ; Complication ; Medical professional liability
• 刊名：Journal of Forensic and Legal Medicine
• 出版年：2012
• 出版时间：May, 2012
• 年：2012
• 卷：19
• 期：4
• 页码：229-233
• 全文大小：254 K

文摘

Colonoscopy has became the gold standard diagnostic and therapeutic treatment for rectum and colon diseases. The splenic injury is a rare complication of colonoscopy and relatively few cases (less than 70) have been reported in the literature so far. Here we present a case of splenic rupture identified in an 80 year-old man few hours after an apparently uneventful colonoscopy. Acknowledging a causal relationship between the lesion and the diagnostic procedures, we discuss the possible medico-legal implications with regard to professional liability considering the exceptional nature of such an event and the stance recently taken by the Italian law.