Splenic haematoma: a rare complication of colonoscopy

BMJ Case Rep. 2021 Mar 24;14(3):e240253. doi: 10.1136/bcr-2020-240253.

Abstract

Colonoscopy is the gold-standard tool to investigate the colon which also allows to biopsy or treat intraluminal pathologies. About 900 000 colonoscopies are performed annually in UK. It is considered a relatively safe procedure; however, some serious complications might take place. The common complications of colonoscopy are bleeding and perforation. Splenic injury is a rare complication of colonoscopy which can be fatal. Our case report describes a grade two subscapular splenic haematoma after routine colonoscopy that has been managed conservatively.

Keywords: General surgery; Surgery; Ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Colonoscopy* / adverse effects
  • Gastrointestinal Hemorrhage
  • Hematoma / diagnostic imaging
  • Hematoma / etiology
  • Humans
  • Spleen / diagnostic imaging
  • Splenic Rupture* / diagnostic imaging
  • Splenic Rupture* / etiology
  • Splenic Rupture* / surgery