{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T18:00:15Z","timestamp":1765994415838,"version":"3.40.4"},"reference-count":18,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,19]]},"abstract":"<jats:p>Colonoscopy is the gold standard for investigation of colorectal carcinoma and inflammatory bowel disease. Splenic injury is a rare but potentially fatal complication of colonoscopy. The present case study outlines the early clinical presentation and rapid deterioration of a patient with a splenic injury after an elective colonoscopy. A 70-year-old female underwent a colonoscopy for investigation of altered bowel habit. The procedure was documented as difficult due to the presence of \u2018stiff loopy colon\u2019. In recovery, patient\u2019s condition deteriorated and she was moved to the ward for further assessment. She gradually became haemodynamically unstable and displayed signs of peritoneal irritation. Initial attempts of fluid resuscitation failed to improve patient\u2019s clinical condition. Further testing revealed a significant drop in haemoglobin and CT confirmed the diagnosis of a splenic rupture. She underwent an emergency splenectomy that evening. Postoperatively she was managed in the high dependency unit.<\/jats:p>","DOI":"10.1136\/bcr-2016-219083","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T06:05:25Z","timestamp":1493877925000},"page":"bcr-2016-219083","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Emergency splenectomy postelective colonoscopy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Carolyn","family":"Cullinane","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaroslaw","family":"Gudyma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerarde","family":"McArdle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,3]]},"reference":[{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.1","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.ijsu.2009.07.010","article-title":"Splenic injury in colonoscopy: a review","volume":"7","author":"Ha","year":"2009","journal-title":"Int J Surg"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.2","first-page":"189","article-title":"Colonoscopy-fiberoptic endoscopic approach to the Colon and polypectomy","volume":"43","author":"Wherry","year":"1974","journal-title":"Med Ann Dist Columbia"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.3","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-1871-0"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-012-0539-1"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.5","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1308\/147870809X400994","article-title":"Splenic injury following colonoscopy-an underdiagnosed, but soon to increase, phenomenon?","volume":"91","author":"Skipworth","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7496.889"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.7","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1159\/000343428","article-title":"Laparoscopic splenectomy for traumatic splenic injury after screening colonoscopy","volume":"6","author":"Abunnaja","year":"2012","journal-title":"Case Rep Gastroenterol"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.8","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182a83493"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.9","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1007\/s10620-016-4364-2","article-title":"Splenic rupture following Colonoscopy","volume":"62","author":"Steele","year":"2017","journal-title":"Dig Dis Sci"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.10","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-1871-0"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.11","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/SLA.0000000000001002","article-title":"Scanning and war: utility of FAST and CT in the assessment of battlefield trauma","volume":"262","author":"Smith","year":"2015","journal-title":"Annals of Surgery"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.12","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1038\/ajg.2009.94","article-title":"Splenic injury as a complication of colonoscopy: a case series","volume":"104","author":"Rao","year":"2009","journal-title":"Am J Gastroenterol"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.13","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-011-0982-3"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.14","first-page":"616","article-title":"Splenic injury after elective colonoscopy","volume":"13","author":"Sarhan","year":"2009","journal-title":"JSLS"},{"key":"2025042706020769000_2017.may03_1.bcr-2016-219083.15","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":"2025042706020769000_2017.may03_1.bcr-2016-219083.16","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s004649900298","article-title":"Splenic rupture from colonoscopy. 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