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Clinical Manifestations:
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Related Experiment Video

Updated: Jun 22, 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 after colonoscopy: a case report.

Anthony J Kiosoglous1, Raphael Varghese, Muhammed Ashraf Memon

  • 1Department of Surgery, Ipswich Hospital, Ipswich, Queensland, Australia.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|June 23, 2009
PubMed
Summary

Iatrogenic splenic tears after colonoscopy are rare but can occur. Predisposing factors like prior surgery or inflammatory conditions increase the risk, sometimes necessitating splenectomy.

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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
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Published on: December 20, 2024

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Last Updated: Jun 22, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Published on: November 15, 2024

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Iatrogenic splenic injury following colonoscopy is an uncommon complication.
  • Splenocolic adhesions, often resulting from prior abdominal surgery, pancreatitis, or inflammatory bowel disease, elevate the risk of splenic tears during colonoscopy.

Observation:

  • A 47-year-old woman underwent a routine colonoscopy.
  • The patient had multiple risk factors for splenocolic adhesions, including a history of abdominal surgery and inflammatory bowel disease.

Findings:

  • The colonoscopy resulted in an iatrogenic splenic tear.
  • The splenic tear was severe enough to require an emergency splenectomy.

Implications:

  • This case highlights the importance of recognizing predisposing factors for splenic injury during colonoscopy.
  • Awareness of these risk factors may aid in preventing or managing rare but serious complications like splenic tears.
  • Prompt diagnosis and surgical intervention, such as splenectomy, are crucial in managing significant iatrogenic splenic injuries.