Hemoperitoneum due to Splenic Laceration Caused by Colonoscopy: A Rare and Catastrophic Complication

Abstract

Numerous studies suggest that in asymptomatic patients, routine follow-up CT is not indicated due to the insignificant findings found on these patients. A 53-year-old man, who denied any underlying disease before, underwent colonoscopy for routine health examination. Sudden onset of abdominal pain around left upper quarter was mentioned at our emergency department. Grade II spleen laceration was found on CT scan. Splenic injury was found few hours later on the day of colonoscopy. It might result from the extra tension between the spleen and splenic flexure which varies from different positions of patients.

Splenic artery embolisation for splenic injury during colonoscopy: A systematic review

“…138 publications (7 case series and 131 singular case reports) were included of 163 individual patients treated primarily with splenectomy for splenic laceration after colonoscopy 11,14,15,17–19,31,33,34,40,42,45,50,52–176 . Individual patient data are shown in Supplementary Table and presented in comparison to SAE and splenorrhaphy in Table 1.…”

Globally regular solutions to dyonic anti-de Sitter $\mathfrak{su}(\infty)$ Einstein-Yang-Mills theory -- Existence and characterising charges

“…Boson stars, and other such objects, have recently attracted attention in research as a possible producer of gravitational waves during binary mergers [41][42][43]. In the view of the author, there may be the possibility that solitons and dyons in su(∞) EYM theory and in su(N ) EYM theories for very large N could be used to model black hole remnants, one of the possible hypothesised end products of Hawking evaporation [44]: Solitons are very small, low-mass objects with the large number of degrees of freedom that are associated with black hole remnants [17]. This may be worthy of investigation.…”