Splenic Rupture After Colonoscopy: Case Report and Literature Review

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Excerpt

Zolonoscopy has become an invaluable tool in the diagnosis and treatment of diseases of the colon and rectum. The most common complications are bleeding and perforation, which occur in up to one percent of patients undergoing diagnostic colonoscopy and three percent of patients undergoing therapeutic colonoscopy.1 Less common complications include pneumothorax, pneumomediastinum, mesenteric tear and colonic volvulus. Splenic rupture is a rare colonoscopic complication, with only 24 cases reported in American literature2–23 and 11 additional cases reported in foreign literature.24–34 The first case of splenic rupture resulting from colonoscopy was reported in 1974 by Wherry and Zhener.2 We present our experience with a case of splenic rupture after colonoscopy in a 59-year-old woman managed without surgical intervention.
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