Splenic Rupture Following Colonoscopy

Splenic rupture following colonoscopy (SRFC) is a rare complication and can have associated mortality if left undiagnosed. Most of the cases reported have been managed operatively. Here, we present a case of a 75-year-old-female who underwent conservative management for SRFC. Splenic rupture should remain a differential in patients presenting with abdominal pain, syncope, and hypotension following colonoscopy. Decisions regarding operative versus conservative management should be guided by the patient's clinical status, hemodynamics, and available resources.

Automated summary

Splenic rupture is a rare complication of colonoscopy that can lead to mortality if not diagnosed promptly. While most reported cases have been managed operatively, we present a case of a 75-year-old female who underwent conservative management for splenic rupture. Splenic rupture should be considered as a differential diagnosis in patients presenting with abdominal pain, syncope, and hypotension following colonoscopy. Decisions regarding operative versus conservative management should be based on the patient's clinical status, hemodynamics, and available resources.