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Case report
Postcolonoscopy splenic rupture: the under-reporting of an unpropitious phenomena?
  1. Bing Lun Chow1,2 and
  2. Khawaja Zia1,3
  1. 1 General Surgery, Belford Hospital, Fort William, Highland, UK
  2. 2 Anaesthetics and Critical Care, Borders General Hospital, Melrose, Scottish Borders, UK
  3. 3 General Surgery, Brighton and Sussex University Hospital NHS Trust, Brighton, UK
  1. Correspondence to Dr Bing Lun Chow, chowbinglun2239{at}


Splenic rupture secondary to colonoscopy is a rare but potentially fatal complication. Given the disparity between the small number of case reports with the incidence reported by some investigators, we contend that the former is not representative of the true extent of this sequela. We present a case report of postcolonoscopy splenic rupture, where the patient had a bizarre initial presentation of chest pain and collapse; and only developed haemodynamic instability and abdominal pain on day 2 postprocedure. Diagnosis was made with a CT scan, and resolution of symptoms was achieved with a splenectomy.

  • endoscopy
  • gastroenterology
  • general surgery

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  • Contributors BLC and KZ, both were involved in the preparation and review of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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