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Case Reports in Emergency Medicine
Volume 2013, Article ID 436874, 3 pages
Case Report

Acute Colonoscopy-Induced Splenic Rupture Presenting to the Emergency Department

1Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA
2Department of Emergency Medicine, Morristown Medical Center, 100 Madison Avenue, P.O. Box 8, Morristown, NJ 07962, USA

Received 12 December 2012; Accepted 5 January 2013

Academic Editors: P. Del Rio, K. Jani, and M. Memon

Copyright © 2013 Monica D. Chow and Richard D. Shih. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Splenic rupture due to colonoscopy is a rarely reported event in the emergency medicine literature. Patients experiencing such an occurrence are likely to report to the emergency department. This paper documents an 84-year-old female who presented to the emergency department with abdominal pain and nausea less than 24 hours following a colonoscopy. An abdominal ultrasound revealed splenomegaly and free fluid. An abdominal computed tomography was significant for a splenic laceration. She underwent radiologic guided embolization and recovered without incident. Emergency medicine physicians need to consider splenic rupture as a differential in patients presenting after colonoscopy with abdominal pain.