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Splenic rupture: an infrequent but potentially severe complication after colonoscopy
Carmelo Diéguez Castillo1, Mercedes López de Hierro2, Eduardo Redondo-Cerezo3
1Aparato Digestivo, Hospital Comarcal de Baza, España.
Revista Espanola De Enfermedades Digestivas
|October 23, 2018
Summary
Splenic rupture is a rare but serious complication. Early diagnosis and splenectomy are vital for patient recovery after colonoscopy.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Colonoscopy is a common procedure.
- Rare complications like splenic rupture can occur post-colonoscopy.
- Timely diagnosis is crucial for managing severe splenic injury.
Observation:
- A 53-year-old female presented with left hemithorax pain and hypotension 24 hours after colonoscopy.
- Abdominal computed tomography (CT) confirmed splenic rupture.
- The patient experienced a favorable postoperative outcome after emergency splenectomy.
Findings:
- Splenic rupture is an infrequent complication following colonoscopy.
- Clinical recognition of splenic rupture is essential for prompt intervention.
- Surgical management via splenectomy led to a positive recovery.
Implications:
- Highlights the importance of considering splenic rupture in patients with post-colonoscopy abdominal pain and hypotension.
- Emphasizes the need for increased awareness among clinicians regarding this rare but severe complication.
- Underscores the effectiveness of prompt diagnosis and surgical intervention in managing splenic rupture.
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