Moghimi Navid, Puchner Markus A
Department of Gastrointestinal & General Surgery, Hvidovre Hospital, 2650 Hvidovre, Denmark.
J Surg Case Rep. 2025 May 17;2025(5):rjaf313. doi: 10.1093/jscr/rjaf313. eCollection 2025 May.
Splenic rupture is a rare but serious iatrogenic complication of colonoscopy, potentially leading to hemodynamic instability. When common complications such as post-polypectomy syndrome and perforation are excluded, physicians must maintain a high level of suspicion for splenic injury, particularly in patients presenting with abdominal pain after the procedure. This report describes an emergency splenectomy performed on an 80-year-old male following a routine colonoscopy. Seven hours of post-procedure, the patient presented abdominal pain, syncope, sweating, and hypotension. Computed tomography imaging revealed a ruptured spleen with a 7-cm parenchymal hematoma, a significant blood halo surrounding the liver, and a large blood accumulation in the pelvis. The patient underwent an emergency splenectomy and was discharged 6 days later without complications.
脾破裂是结肠镜检查一种罕见但严重的医源性并发症，可能导致血流动力学不稳定。当排除诸如息肉切除术后综合征和穿孔等常见并发症时，医生必须高度怀疑脾损伤，尤其是在术后出现腹痛的患者中。本报告描述了一名80岁男性在常规结肠镜检查后接受的急诊脾切除术。术后7小时，患者出现腹痛、晕厥、出汗和低血压。计算机断层扫描成像显示脾脏破裂，伴有7厘米的实质内血肿，肝脏周围有明显的血液晕圈，盆腔内有大量血液积聚。患者接受了急诊脾切除术，6天后出院，无并发症。
