Splenic Rupture and Colonoscopy: Case Report and Review of Literature

Colonoscopy is a very usually diagnostic and therapeutic procedure in the diagnostic of colonic diseases. Most of the time it is secure procedure but complications can occur: hemorrhages (1.8-2.5%) and perforations (0.34-2.14%) are the most common. Others complications include pneumothorax, pneumediastinum, mesenteric tear and colonic volvulus [1,2]. Splenic rupture is a rare complication that can lead to lethal issue. Since the mid-1970s, 68 cases have been reported in literature. The most commonly held mechanism should be a tension due to manipulations of the colon on pre-existing adhesions [3] We report here a case of splenic rupture on a patient, following colonoscopy, 20 hours after the surgery, with lethal issue. We also sum up a review of the literature.