Year: 2025
Type: article
Study design: Case Report
Abstract: Splenic rupture is a rare but serious iatrogenic complication of colonoscopy, potentially leading to hemodynamic instability. When common complications such as post-polypectomy syndrome and perforation are excluded, physicians must maintain a high level of suspicion for splenic injury, particularly in patients presenting with abdominal pain after the procedure. This report describes an emergency splenectomy performed on an 80-year-old male following a routine colonoscopy. Seven hours of post-procedure, the patient presented abdominal pain, syncope, sweating, and hypotension. Computed tomography imaging revealed a ruptured spleen with a 7-cm parenchymal hematoma, a significant blood halo surrounding the liver, and a large blood accumulation in the pelvis. The patient underwent an emergency splenectomy and was discharged 6 days later without complications.
Source: Journal of Surgical Case Reports
DOI: 10.1093/jscr/rjaf313
Authors: Navid Moghimi, Markus A Puchner
Institution: Hvidovre Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4410458233