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Subcapsular Splenic Hematoma After Diagnostic Colonoscopy: A Case Report
Shawn Howell1, Taylor Barton1, Idean A Pourshams1
1Internal Medicine, University of Arkansas for Medical Sciences, Fayetteville, USA.
Cureus
|October 22, 2024
Summary
Splenic hematoma is a rare but serious complication following colonoscopy. This case highlights successful medical management of splenic injury without surgical intervention, emphasizing prompt recognition and treatment.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Imaging
Background:
- Colonoscopy is a vital procedure for colorectal health, yet carries rare risks.
- Splenic injury, including splenic hematoma, is an infrequent but potentially fatal complication.
- Early diagnosis and management are crucial for patient outcomes.
Observation:
- A 58-year-old female presented with abdominal pain post-colonoscopy.
- Initially, the patient declined imaging but later sought re-evaluation.
- A splenic hematoma with hemoperitoneum was diagnosed upon readmission.
Findings:
- The patient's splenic hematoma and hemoperitoneum were successfully managed non-operatively.
- Conservative treatment led to an uneventful recovery.
- Splenectomy was avoided in this case.
Implications:
- This case underscores the importance of considering rare complications after colonoscopy.
- Non-surgical management can be effective for splenic hematoma following colonoscopy.
- Further research into risk factors and optimal management strategies for post-colonoscopy splenic injury is warranted.
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