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Updated: May 10, 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
Splenic injury after colonoscopy requiring splenectomy
Rachael McBride1, Bobby Dasari, Hannah Magowan
1Department of Surgery, Craigavon Area Hospital, Portadown, UK.
BMJ Case Reports
|June 6, 2013
Summary
A rare complication of colonoscopy, a large perisplenic hematoma, occurred in a woman presenting with abdominal pain. Prompt diagnosis via CT scan and surgical intervention, including splenectomy, led to a good recovery.
Area of Science:
- Gastroenterology
- Surgical Complications
- Diagnostic Imaging
Background:
- Colonoscopy is a common diagnostic and therapeutic procedure.
- Potential complications include colonic perforation and bleeding.
- Awareness of rare complications is crucial for patient safety.
Observation:
- A middle-aged woman experienced severe abdominal pain within 24 hours post-colonoscopy.
- Initial symptoms suggested colonic perforation.
- CT scan revealed a significant perisplenic hematoma.
Findings:
- The patient underwent an emergency laparotomy due to hemodynamic instability.
- A splenectomy was performed to manage the extensive hemorrhage.
- Total blood loss amounted to 2500 ml.
Implications:
- This case highlights a rare but serious post-colonoscopy complication.
- Early recognition of perisplenic hematoma is vital.
- Endoscopists and healthcare providers must be vigilant for atypical presentations and ensure timely intervention.
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