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Updated: Jun 21, 2026
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Rupture of spleen post colonoscopy
Nidal A Younes1, Mahmoud I Al-Ardah, Salam S Daradkeh
1Department of General Surgery, Faculty of Medicine, University of Jordan, PO Box 13024, Amman, Jordan. mahm2000@hotmail.com
Saudi Medical Journal
|August 12, 2009
Summary
A rare case of splenic rupture occurred after a colonoscopy for rectal bleeding. The patient recovered well after splenectomy and aggressive resuscitation, highlighting a unique clinical course.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Trauma
Background:
- Elective colonoscopy is a common procedure for evaluating rectal bleeding.
- Splenic rupture is a rare but serious complication following gastrointestinal endoscopy.
- Understanding risk factors and management is crucial for patient safety.
Observation:
- A 68-year-old woman presented with rectal bleeding, undergoing elective colonoscopy.
- The procedure was complicated by spontaneous splenic rupture, a highly unusual event.
- The patient required immediate and intensive medical intervention.
Findings:
- Aggressive fluid and blood resuscitation was initiated to manage hemorrhagic shock.
- Surgical intervention in the form of splenectomy was performed to control the bleeding.
- The patient experienced a favorable outcome with a smooth recovery post-surgery.
Implications:
- This case underscores the importance of vigilance for rare complications during colonoscopy.
- Prompt diagnosis and multidisciplinary management (resuscitation and surgery) are vital for survival.
- Further research may explore potential predisposing factors for splenic injury during endoscopic procedures.
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