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Related Experiment Video

Updated: Jun 5, 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 rupture following routine colonoscopy.

Tabraze Rasul¹, Edmund Leung, Kirsten McArdle

¹Department of Surgery, Russells Hall Hospital, Dudley, West Midlands, Warwick, UK.

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society

|December 24, 2010

Summary

Splenic rupture is a rare but serious complication following colonoscopy. Increased awareness during patient consent is crucial for early diagnosis and life-saving intervention.

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Last Updated: Jun 5, 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

Area of Science:

Gastroenterology
Surgical Complications

Background:

Colonoscopy is a standard diagnostic tool for gastrointestinal issues and colorectal cancer screening.
Splenic rupture is a rare, life-threatening condition involving internal hemorrhage, often presenting diagnostic challenges.

Observation:

A 66-year-old woman developed grade 4 splenic rupture post-routine colonoscopy surveillance for adenoma.
The patient presented with clinical shock and anemia the day after the procedure.

Findings:

Computed tomography confirmed a grade 4 splenic rupture.
The patient required immediate blood transfusion and splenectomy for survival.

Implications:

Splenic injury is an infrequent complication of colonoscopy, with a prevalence less than 0.1%.
This case highlights the critical need to include splenic rupture in colonoscopy consent discussions due to its severity.
Enhanced patient awareness and physician vigilance can lead to timely diagnosis and improved outcomes for this rare complication.