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Updated: Dec 21, 2025

Application of Microwave Ablation in Laparoscopic Partial Splenectomy
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Splenic trauma from colonoscopy: A case series.

Dhaval D Patel1, Diane C Shih-Della Penna1, Shawn M Terry1

  • 1WellSpan York Hospital, 1001 S. George St., 2 Main, Surgical Services, York, PA 17403, United States.

International Journal of Surgery Case Reports
|May 20, 2020
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Splenic trauma after colonoscopy is a rare but serious complication. Prompt diagnosis with imaging and management, including interventional radiology or surgery, is crucial for patient recovery.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Splenic trauma following colonoscopy is an uncommon complication.
  • Left upper quadrant abdominal pain after colonoscopy warrants consideration for splenic injury.
  • Early diagnosis can be challenging without appropriate imaging.

Purpose of the Study:

  • To present a case series of patients experiencing splenic trauma post-colonoscopy.
  • To highlight diagnostic and management strategies for this rare complication.

Main Methods:

  • Retrospective review of four patients with splenic trauma after colonoscopy.
  • Diagnosis confirmed via abdominal and pelvic computed tomography (CT) scans.
  • Management included intensive care monitoring, interventional radiology (IR) angioembolization, or open splenectomy.

Main Results:

  • All four patients were diagnosed with splenic trauma post-colonoscopy.
  • Two patients required IR angioembolization due to decreasing hemoglobin.
  • Two patients underwent open splenectomy due to significant transfusion needs.
  • All patients had favorable outcomes, with one experiencing prolonged hospitalization due to infection.

Conclusions:

  • Colonoscopy can lead to severe splenic trauma, even without prior history.
  • Management parallels that of non-colonoscopy-related splenic trauma.
  • Non-operative management is feasible with surgical intensive care unit (SICU) and IR support.
  • Prompt operative intervention is necessary for unstable patients.