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Updated: Aug 6, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Splenic rupture following colonoscopy: two cases with CT findings
Craig Johnson1, Michael Mader, D Makana Edwards
1Department of Diagnostic Radiology, Northeastern Ohio Universities College of Medicine-Canton Affiliated Hospitals, 2600 Sixth Street S.W., Canton, OH 44710, USA. Craig.M.Johnson@dmu.edu
Abstract:
Splenic injury following colonoscopy is extremely rare. We report a 75-year-old woman and a 35-year-old woman who presented to the emergency room with left upper quadrant and left shoulder pain following colonoscopy. Both patients were diagnosed by computed tomography (CT) with splenic injuries and hemoperitoneum. One patient was successfully managed conservatively, and one patient needed emergent open splenectomy. The possibility of splenic injury should be considered in post-colonoscopy patients with left upper quadrant or left shoulder pain.
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