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The most likely mechanism includes the avulsion of the splenic capsule due to excessive traction on the splenocolic ligament during navigation of the colon. Splenic injury is an extremely rare but potentially fatal complication We describe four cases of patients who experienced splenic trauma after colonoscopy, and who were treated by the acute care surgery (acs) team at a community teaching hospital.
In conclusion, splenic injury after colonoscopy is a rare but potentially fatal complication of the procedure, with a high incidence of splenic salvage and low overall mortality Of the three major severe adverse events during colonoscopy (perforation, bleeding, and splenic injury), splenic injury has the highest mortality but is rarest (1). Early suspicion and emergent surgical evaluation are essential for successful outcomes.
Splenic injury is a rare event and prevention is difficult as the mechanism is not always clear
Scope guide is recommended and might anticipate any splenic trauma by preventing the development of loop formation or recognising excessive traction as it occurs, early position changes are often helpful when difficulty is encountered in this region. Colonoscopy, while generally safe, can rarely lead to severe complications such as splenic injury
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