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Related Concept Videos

Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

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Esophageal Perforation-II: Clinical Manifestations and Management

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Clinical Manifestations:

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Related Experiment Video

Updated: Jun 28, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Splenic rupture following colonoscopy.

Juan-Francisco Guerra1, Ignacio San Francisco, Fernando Pimentel

  • 1Departamento de Cirugia Digestiva, Pontificia Universidad Catolica de Chile, Marcoleta 367, Santiago 8330024, Chile. jfguerra@uc.cl

World Journal of Gastroenterology
|November 15, 2008
PubMed
Summary
This summary is machine-generated.

Splenic rupture is a rare but serious complication of colonoscopy. Early diagnosis and surgical intervention, often splenectomy, are crucial for managing this infrequent yet potentially life-threatening injury.

Related Experiment Videos

Last Updated: Jun 28, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Colonoscopy is a common procedure for diagnosing and treating colorectal diseases.
  • While generally safe, potential complications include bleeding and perforation.
  • Rarely, extracolonic injuries like splenic rupture can occur.

Observation:

  • A 60-year-old female developed massive hemoperitoneum 8 hours post-colonoscopy.
  • Surgical exploration revealed a near-complete splenic disruption.
  • An emergency splenectomy was performed, with an uncomplicated recovery.

Findings:

  • Splenic injury following colonoscopy is infrequent.
  • Potential causes include direct trauma or excessive traction on the splenocolic ligament.
  • Delayed diagnosis is common due to symptoms mimicking colonic insufflation.

Implications:

  • A high index of suspicion is necessary for early diagnosis of splenic injury post-colonoscopy.
  • Prompt diagnosis and treatment, typically splenectomy, are vital.
  • This case highlights the importance of recognizing rare but severe complications of routine procedures.