ArticleSAGE open medical case reports2018
A delayed presentation of splenic laceration and hemoperitoneum following an elective colonoscopy: A rare complication with uncertain risk factors.
Article in SAGE open medical case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Article
- Hemoperitoneum after routine colonoscopy: A case report.International journal of surgery case reports · 2023Article
- Diagnostic nightmare: intra-intestinal bleed masks intra-abdominal bleed after colonoscopy.Journal of surgical case reports · 2023Article
- Colonoscopy-related colonic ischemia.World journal of gastroenterology · 2021Review
- Elderly woman with abdominal pain.Journal of the American College of Emergency Physicians open · 2020Article
- Hemoperitoneum with Splenic Artery Rupture Following Diagnostic Colonoscopy.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2020Article
- Splenic injuries secondary to colonoscopy: Rare but serious complication.World journal of gastrointestinal surgery · 2020Article
- Iatrogenic Severe Splenic Injury after Colonoscopy.Case reports in gastrointestinal medicine · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Splenic laceration is a rare yet often underreported complication of colonoscopy that is infrequently discussed with the patient during the consent process. Most cases present within 48 h after the inciting colonoscopy; a delayed presentation is rare. We present a case of splenic laceration with hemoperitoneum that manifested 5 days after the initial colonoscopy. The patient was treated conservatively. Traditionally perceived risk factors such as intra-abdominal adhesions, splenomegaly, anticoagulation use, biopsy, polypectomy, a technically challenging procedure, and anesthesia assistance have not been clearly shown to increase the incidence of splenic injury following a colonoscopy. Since the risk factors of splenic injury remain unclear, the clinical presentation is nonspecific, and the consequences can be serious, the endoscopist should make an effort to inform the patient of this rare complication before the procedure.
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Registered trials
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