{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:06Z","timestamp":1756339566776,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,14]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2020-239882","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T15:39:11Z","timestamp":1659109151000},"page":"e239882","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Splenectomy post-splenic injury following dilatation of Roux-en-y enterostomy stomal stricture: an unexpected complication"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1286-3132","authenticated-orcid":false,"given":"Simon","family":"Bennet","sequence":"first","affiliation":[{"name":"Surgery, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3469-7390","authenticated-orcid":false,"given":"Calista","family":"Spiro","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kateryna","family":"Burlak","sequence":"additional","affiliation":[{"name":"Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hou Kiat","family":"Lim","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"2025082710462808000_14.3.e239882.1","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/TA.0000000000002058","article-title":"Organ injury scaling 2018 update: spleen, liver, and kidney","volume":"85","author":"Kozar","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082710462808000_14.3.e239882.2","doi-asserted-by":"crossref","first-page":"290","DOI":"10.4253\/wjge.v4.i7.290","article-title":"Stenosis in gastric bypass: endoscopic management","volume":"4","author":"Espinel","year":"2012","journal-title":"World J Gastrointest Endosc"},{"key":"2025082710462808000_14.3.e239882.3","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.lers.2020.06.003","article-title":"Splenic laceration following endoscopic retrograde cholangiopancreatography: a literature review and our experience","volume":"3","author":"Wang","year":"2020","journal-title":"Laparos Endoscopic Robotic Surgery"},{"key":"2025082710462808000_14.3.e239882.4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.14740\/jocmr4134","article-title":"A very rare cause of splenic injury: splenic hematoma following a diagnostic upper endoscopy (esophagogastroduodenoscopy) and biopsy of gastric ulcer","volume":"12","author":"Eter","year":"2020","journal-title":"J Clin Med Res"},{"key":"2025082710462808000_14.3.e239882.5","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1007\/s00508-012-0158-5","article-title":"Splenic decapsulation after gastroscopy","volume":"124","author":"Fuchs","year":"2012","journal-title":"Wien Klin Wochenschr"},{"key":"2025082710462808000_14.3.e239882.6","doi-asserted-by":"crossref","first-page":"235","DOI":"10.4253\/wjge.v2.i6.235","article-title":"Splenic rupture following a diagnostic upper endoscopy","volume":"2","author":"Est\u00e9vez-Boullosa","year":"2010","journal-title":"World J Gastrointest Endosc"},{"key":"2025082710462808000_14.3.e239882.7","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/S0016-5107(91)70872-9","article-title":"Splenic injury complicating therapeutic upper gastrointestinal endoscopy and ERCP","volume":"37","author":"Lewis","year":"1991","journal-title":"Gastrointest Endosc"},{"key":"2025082710462808000_14.3.e239882.8","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/S0016-5085(19)35961-X","article-title":"Gastroscopy and delayed rupture of the spleen; a review and report of a possible case","volume":"29","author":"Hunter","year":"1955","journal-title":"Gastroenterology"},{"key":"2025082710462808000_14.3.e239882.9","doi-asserted-by":"crossref","DOI":"10.1055\/s-0032-1308924","article-title":"Spleen rupture complicating upper endoscopy","volume":"44","author":"Jabr","year":"2012","journal-title":"Endoscopy"},{"key":"2025082710462808000_14.3.e239882.10","doi-asserted-by":"crossref","first-page":"E228","DOI":"10.1055\/s-0029-1214497","article-title":"Splenic rupture as a complication of endoscopic esophageal bouginage","volume":"41","author":"Goertz","year":"2009","journal-title":"Endoscopy"},{"key":"2025082710462808000_14.3.e239882.11","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1159\/000492068","article-title":"Splenic rupture following transnasal endoscopy","volume":"26","author":"Cardoso","year":"2019","journal-title":"GE Port J Gastroenterol"},{"key":"2025082710462808000_14.3.e239882.12","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-1871-0"},{"key":"2025082710462808000_14.3.e239882.13","doi-asserted-by":"crossref","first-page":"391","DOI":"10.4253\/wjge.v8.i9.391","article-title":"First report of splenic rupture following deep enteroscopy","volume":"8","author":"Girelli","year":"2016","journal-title":"World J Gastrointest Endosc"},{"key":"2025082710462808000_14.3.e239882.14","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1308\/rcsann.2018.0159","article-title":"Computed tomography colonography: a new threat to the spleen?","volume":"101","author":"Sehgal","year":"2019","journal-title":"Ann R Coll Surg Engl"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:46:36Z","timestamp":1756316796000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,25]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-239882"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239882","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}