Splenic rupture following endoscopic polypectomy.

Area of Science:

• Gastroenterology
• Surgical Pathology
• Abdominal Surgery

Background:

• Colon polyps are common, and endoscopic polypectomy is a standard procedure.
• Complications following endoscopic polypectomy, though rare, can be serious.

Observation:

• A 70-year-old man underwent endoscopic polypectomy for two colon polyps.
• Post-procedure, the patient presented with collapse and abdominal pain.

Findings:

• CT scan revealed significant intra-abdominal bleeding (hematoperitoneum) and a splenic subcapsular hematoma.
• The patient required an emergency laparotomy for a ruptured spleen, necessitating a splenectomy.

Implications:

• This case underscores the importance of vigilant monitoring for delayed complications after endoscopic polypectomy.
• Splenic injury is a rare but critical complication that mandates prompt surgical intervention.
• Wound dehiscence can occur as a late complication, requiring further management.