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Case Reports in Emergency Medicine
Volume 2014, Article ID 985648, 3 pages
http://dx.doi.org/10.1155/2014/985648
Case Report

Hemoperitoneum due to Splenic Laceration Caused by Colonoscopy: A Rare and Catastrophic Complication

Department of Emergency, Shuang-Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Road, Zhonghe District, New Taipei City 235, Taiwan

Received 3 January 2014; Accepted 11 February 2014; Published 17 March 2014

Academic Editors: P. Del Rio and A. K. Exadaktylos

Copyright © 2014 Shiao-Han Chen et al. 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.

Abstract

Numerous studies suggest that in asymptomatic patients, routine follow-up CT is not indicated due to the insignificant findings found on these patients. A 53-year-old man, who denied any underlying disease before, underwent colonoscopy for routine health examination. Sudden onset of abdominal pain around left upper quarter was mentioned at our emergency department. Grade II spleen laceration was found on CT scan. Splenic injury was found few hours later on the day of colonoscopy. It might result from the extra tension between the spleen and splenic flexure which varies from different positions of patients.