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Delayed presentation of splenic rupture after colonoscopy.
1Division of Emergency Medicine, University of Maryland Medical Center, Veterans Affairs Medical Center, Baltimore 21201, USA.
The Journal of Emergency Medicine
|May 25, 1999
Summary
Splenic rupture is a rare complication following colonoscopy. This case highlights a delayed presentation of abdominal pain and splenic rupture in a 70-year-old male patient.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Imaging
Background:
- Colonoscopy is a common diagnostic and therapeutic procedure.
- While generally safe, rare complications can occur.
- Splenic rupture is an infrequent but serious adverse event associated with colonoscopy.
Observation:
- A 70-year-old male presented with abdominal pain two days post-colonoscopy.
- The patient was initially hemodynamically stable.
- Clinical deterioration prompted further investigation.
Findings:
- Abdominal computed tomography (CT) scan confirmed splenic rupture.
- The splenic rupture was identified as a complication of the recent colonoscopy.
- Delayed presentation of symptoms is noted.
Implications:
- Physicians should maintain a high index of suspicion for splenic rupture in patients with abdominal pain after colonoscopy.
- Prompt diagnosis and management are crucial for favorable outcomes.
- This case underscores the importance of considering rare complications even in stable patients.