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Related Experiment Video

Updated: Jun 8, 2026

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

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

Published on: November 15, 2024

Splenic laceration following routine colonoscopy.

¹Department of Emergency Medicine, University of Florida, Gainesville, FL 32610-0186, USA. bdesai@ufl.edu

Southern Medical Journal

|October 5, 2010

Summary

Colonoscopy is generally safe, but splenic laceration is a rare complication. This case highlights the importance of considering splenic injury in patients with post-colonoscopy abdominal pain.

Area of Science:

Gastroenterology
Surgical Complications
Emergency Medicine

Background:

Colonoscopy is a common screening procedure with a low complication rate.
Known complications include perforation and hemorrhage.
Rare but serious complications require prompt recognition.

Observation:

A 67-year-old female presented with abdominal pain hours after a routine screening colonoscopy.
Computed tomography revealed a significant splenic laceration.
The patient required operative management for the splenic injury.

Findings:

Splenic laceration is an uncommon but critical complication of colonoscopy.
Abdominal pain following colonoscopy warrants consideration of splenic injury.
Timely diagnosis and treatment are essential for patient outcomes.

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Last Updated: Jun 8, 2026

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

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

Published on: November 15, 2024

Implications:

Clinicians should maintain a high index of suspicion for splenic laceration in patients with post-colonoscopy abdominal pain.
Recognition of this rare complication can prevent delayed diagnosis and treatment.
This case underscores the need for awareness of diverse colonoscopy-related injuries.