Splenic Injury After a Screening Colonoscopy.

Area of Science:

• Gastroenterology
• Surgical Complications
• Abdominal Imaging

Background:

• Colonoscopy is a common endoscopic procedure for colorectal cancer screening and diagnosis.
• While generally safe, colonoscopy carries risks of complications, including bleeding and perforation.
• Splenic injury is an exceedingly rare but potentially severe complication of colonoscopy.

Observation:

• A 71-year-old woman developed abdominal pain post-screening colonoscopy.
• Abdominal CT revealed a grade III splenic injury with a subcapsular hematoma.
• The patient was successfully treated with conservative management.

Findings:

• Splenic injury following colonoscopy is a rare event.
• Conservative management can be effective for select splenic injuries.
• Timely diagnosis and a high index of suspicion are crucial for managing splenic trauma.

Implications:

• Recognizing splenic injury as a potential complication of colonoscopy is vital.
• Prompt diagnosis and appropriate management can mitigate morbidity and mortality.
• Further research into risk factors and preventative strategies for colonoscopy-induced splenic injury may be warranted.