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Related Experiment Video

Updated: Dec 17, 2025

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Splenic Laceration Post Colonoscopy: A Rare Complication.

Jonathan Liu1, Jay Ladde2

  • 1University of Central Florida College of Medicine, Orlando, Florida.

The Journal of Emergency Medicine
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Summary

Splenic laceration is a rare complication of colonoscopy. Emergency physicians should consider this possibility in patients presenting with abdominal pain after the procedure.

Keywords:
colonoscopyiatrogenic injurysplenic laceration

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Area of Science:

  • Gastroenterology
  • Emergency Medicine
  • Surgical Complications

Background:

  • Colonoscopy is an increasingly common procedure in the United States.
  • While generally safe, colonoscopies carry a risk of rare complications.
  • Splenic laceration is an exceptionally uncommon complication of colonoscopy.

Observation:

  • A 71-year-old woman experienced abdominal and left shoulder pain with nausea 24 hours post-colonoscopy.
  • CT scan revealed hemoperitoneum, indicating a possible splenic laceration.
  • Laparoscopy confirmed a splenic laceration with active bleeding.

Findings:

  • The patient underwent splenectomy for the splenic laceration.
  • This case highlights a rare but serious outcome of colonoscopy.

Implications:

  • Emergency physicians must consider splenic injury in patients with recent colonoscopy history presenting with abdominal pain.
  • Awareness of this rare complication is crucial for timely diagnosis and management.
  • Increasing colonoscopy rates necessitate vigilance for associated rare complications.