Open AccessPostcolonoscopy splenic rupture: the under-reporting of an unpropitious phenomena?
Author(s) -
Bing Lun Chow,
Khawaja Zia
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-231047
Subject(s) - medicine , sequela , complication , abdominal pain , splenectomy , presentation (obstetrics) , surgery , colonoscopy , radiology , incidence (geometry) , general surgery , spleen , physics , colorectal cancer , cancer , optics
Splenic rupture secondary to colonoscopy is a rare but potentially fatal complication. Given the disparity between the small number of case reports with the incidence reported by some investigators, we contend that the former is not representative of the true extent of this sequela. We present a case report of postcolonoscopy splenic rupture, where the patient had a bizarre initial presentation of chest pain and collapse; and only developed haemodynamic instability and abdominal pain on day 2 postprocedure. Diagnosis was made with a CT scan, and resolution of symptoms was achieved with a splenectomy.