A Rare Case of Splenocolonic Fistula Presenting as Rectal Bleeding after Non-Operative Management of Blunt Splenic Trauma and Review of the Literature

Abstract

Background: Non-Operative Management of Splenic Injuries (NOMSI) is the standard approach to blunt splenic trauma in the stable patient. Complications of NOMSI are well documented, however splenocolonic fistulas (SCFs) are rare and usually due to chronic inflammatory or neoplastic events. After NOMSI, SCFs are extremely rare and knowledge around incidence and presenting complaints entirely unknown.Objective: To present a rare case of SCF after non-operative management of blunt splenic trauma in a patient who presented without abdominal pain, but rectal bleeding.