Splenic laceration post colonoscopy

Discussion:

This is a proven case of a splenic injury following colonoscopy.

Colonoscopy is a common and relatively safe procedure most often used to detect colorectal cancer.  Almost 500,000 colonoscopies were performed in Australia last year. Complications may be under-reported but are nevertheless considered rare. The most frequent complication is bowel perforation (0.34 to 2.14%) and bleeding (1.8 to 2.5%). Infrequent complications include pneumothorax, pneumomediastinum, appendicitis and bacteremia with endocarditis, as well as splenic injury as is reported here.

This patient was initially managed conservatively but overnight became haemodynamically unstable and on day 2 underwent open splenectomy.

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