Grade III Spleen Laceration After a Colonoscopy Treated with Splenic Artery Embolization: A Case Report

Abstract

Our patient is a 58-year-old female who presented to our emergency room with left upper quadrant abdominal pain the day after outpatient screening colonoscopy. A computed tomography (CT) scan of the abdomen and pelvis revealed a grade III spleen injury. She was admitted to our intensive care unit, and a gradual decline in her hematocrit was noticed. The patient did well and was discharged from hospital the day after splenic artery embolization.

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

“…23 publications (5 case series of two or more patients and 18 singular case reports) were included of 30 individual patients primarily treated with splenic artery embolisation for splenic laceration after colonoscopy 27,30–51 . Individual patient data are shown in Supplementary Table and presented in comparison to splenectomy and splenorrhaphy in Table 1.…”

“…23 publications (5 case series of two or more patients and 18 singular case reports) were included of 30 individual patients primarily treated with splenic artery embolisation for splenic laceration after colonoscopy. 27 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 Individual patient data are shown in Supplementary Table S1 and presented in comparison to splenectomy and splenorrhaphy in Table 1 . Most patients were asymptomatic and a only a minority (20%) of colonoscopies were interventional, including biopsy or polypectomy (Supplementary Table S1 ).…”