{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T21:55:09Z","timestamp":1783288509559,"version":"3.54.6"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T00:00:00Z","timestamp":1747440000000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Splenic rupture is a rare but serious iatrogenic complication of colonoscopy, potentially leading to hemodynamic instability. When common complications such as post-polypectomy syndrome and perforation are excluded, physicians must maintain a high level of suspicion for splenic injury, particularly in patients presenting with abdominal pain after the procedure. This report describes an emergency splenectomy performed on an 80-year-old male following a routine colonoscopy. Seven hours of post-procedure, the patient presented abdominal pain, syncope, sweating, and hypotension. Computed tomography imaging revealed a ruptured spleen with a 7-cm parenchymal hematoma, a significant blood halo surrounding the liver, and a large blood accumulation in the pelvis. The patient underwent an emergency splenectomy and was discharged 6 days later without complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf313","type":"journal-article","created":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T21:00:21Z","timestamp":1747515621000},"source":"Crossref","is-referenced-by-count":1,"title":["A case report of splenic rupture related to colonoscopy"],"prefix":"10.1093","volume":"2025","author":[{"given":"Navid","family":"Moghimi","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal & General Surgery, Hvidovre Hospital , 2650 Hvidovre ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus A","family":"Puchner","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal & General Surgery, Hvidovre Hospital , 2650 Hvidovre ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,17]]},"reference":[{"key":"2025052712455106000_ref1","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1007\/s11605-012-1871-0","article-title":"Splenic injury during colonoscopy\u2014a complication that warrants urgent attention","volume":"16","author":"Singla","year":"2012","journal-title":"J Gastrointest Surg"},{"key":"2025052712455106000_ref2","doi-asserted-by":"publisher","first-page":"55","DOI":"10.4240\/wjgs.v12.i2.55","article-title":"Splenic injuries secondary to colonoscopy: rare but serious complication","volume":"12","author":"Ullah","year":"2020","journal-title":"World J Gastrointest Surg"},{"key":"2025052712455106000_ref3","doi-asserted-by":"publisher","first-page":"110243","DOI":"10.1016\/j.ijscr.2024.110243","article-title":"Post-colonoscopy splenic injury: a case report on diagnostic challenges and treatment strategies","volume":"123","author":"Touati","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"2025052712455106000_ref4","first-page":"276","article-title":"Splenic injury after colonoscopy: case report and review of literature","volume":"11","author":"Shankar","year":"2011","journal-title":"Ochsner J"},{"key":"2025052712455106000_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199503000-00001","article-title":"Organ injury scaling: spleen and liver (1994 revision)","volume":"38","journal-title":"J Trauma"},{"key":"2025052712455106000_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/deo2.287","article-title":"A case report of splenic injury related to colonoscopy: fortunately treated with conservative treatment","volume":"4","author":"Moriwake","year":"2024","journal-title":"DEN Open"},{"key":"2025052712455106000_ref6","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1007\/BF02554287","article-title":"Splenic injury as a complication of colonoscopy and polypectomy. Report of a case and review of the literature","volume":"30","author":"Doctor","year":"1987","journal-title":"Dis Colon Rectum"},{"key":"2025052712455106000_ref7","article-title":"Late presentation of splenic trauma after routine colonoscopy","volume":"84","journal-title":"Am J Gastroenterol"},{"key":"2025052712455106000_ref8","first-page":"151","article-title":"Splenic rupture after colonoscopy","volume":"11","author":"Lalor","year":"2007","journal-title":"JSLS"},{"key":"2025052712455106000_ref9","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s004649900298","article-title":"Splenic rupture from colonoscopy. 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