Colonoscopic Splenic Injury: A Simplified Radiologic Approach

Area of Science:

• Gastroenterology
• Surgical Complications

Background:

• Colonoscopy is a vital diagnostic and therapeutic tool for large bowel diseases.
• Common complications include bleeding and perforation, but splenic injury is exceptionally rare.

Observation:

• A 73-year-old woman experienced left-sided abdominal pain following a colonoscopy.
• Computed tomography (CT) scan revealed splenic injury.

Findings:

• The patient's splenic injury was successfully managed conservatively.
• This case underscores the need for vigilance regarding rare colonoscopy complications.

Implications:

• Early recognition and appropriate diagnostic imaging are crucial for managing colonoscopic splenic injury.
• Conservative management can be effective for select cases of splenic trauma post-colonoscopy.