{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:53:12Z","timestamp":1764093192047,"version":"3.45.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Splenic injury is a rare but potentially life-threatening complication of colonoscopy. We report the case of a 63-year-old woman who developed left upper quadrant and referred shoulder pain one day after a routine colonoscopy. Computed tomography of the abdomen revealed a peri-splenic hematoma, and she was transferred to a tertiary facility for further management. Repeat imaging confirmed a splenic laceration with associated hemoperitoneum. She underwent splenic artery embolization with microcoils, resulting in stabilization of her hemoglobin after transfusion. The patient was discharged on hospital Day 6 without further complications. This case underscores the importance of considering splenic injury in the differential diagnosis for post-colonoscopy abdominal or shoulder pain, particularly after other more common etiologies have been excluded. Early recognition and prompt intervention can be critical in preventing morbidity and mortality.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf940","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:03:01Z","timestamp":1762866181000},"source":"Crossref","is-referenced-by-count":0,"title":["Splenic laceration following routine colonoscopy: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Autumn","family":"Bertch","sequence":"first","affiliation":[{"name":"Department of Medicine, University of North Dakota School of Medicine and Health Sciences , 1301 N Columbia Rd, Grand Forks, ND 58203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calvin","family":"Motika","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Anesthesia, CHI St. Alexius Health , 900 E Broadway Ave, Bismarck, ND 58501 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"2025112512493917200_ref1","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.ijscr.2016.10.040","article-title":"Splenic injury after colonoscopy: a case report and review of literature","volume":"29","author":"Jehangir","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025112512493917200_ref2","article-title":"Splenic injury after colonoscopy: understanding a rare but potentially serious complication","author":"Lichtenstein","year":"2023","journal-title":"Gastroenterol Endosc News"},{"key":"2025112512493917200_ref3","doi-asserted-by":"publisher","first-page":"e1003","DOI":"10.7759\/cureus.1003","article-title":"Colonoscopy-induced splenic injury: a review of the literature","volume":"9","author":"Ullah","year":"2017","journal-title":"Cureus"},{"key":"2025112512493917200_ref4","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000003429","article-title":"Colonoscopy-related adverse events in the 21st century: a systematic review and meta-analysis","author":"Lv","year":"2025","journal-title":"Am J Gastroenterol"},{"key":"2025112512493917200_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-025-09149-x","article-title":"Splenic injuries due to colonoscopy in adult out-patients\u2014a registry-based study","volume":"70","author":"Koop","year":"2025","journal-title":"Dig Dis Sci"},{"key":"2025112512493917200_ref6","doi-asserted-by":"publisher","first-page":"e675","DOI":"10.1055\/a-2223-9514","article-title":"Splenic injury associated with colonoscopy in hospitalized patients","volume":"12","author":"Choi","year":"2024","journal-title":"Endosc Int Open"},{"key":"2025112512493917200_ref7","article-title":"General best practice guidelines for immunization: altered immunocompetence","author":"Centers for Disease Control and Prevention"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf940\/65500965\/rjaf940.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf940\/65500965\/rjaf940.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:49:41Z","timestamp":1764092981000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf940\/8342524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,1]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf940","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,11,1]]},"article-number":"rjaf940"}}