Abstract
Splenic rupture after colonoscopy is a rare but fatal complication and fewer than 50 case reports were described in the English literature. We report a case of splenic rupture with presentation of abdominal pain within 24 hours after colonoscopy. Bowel perforation and bleeding were excluded and abdominal CT revealed splenic rupture and hemoperitoneum. We treated this patient with conservative management successfully. The mechanism of splenic rupture after colonoscopy was still unclear but some risk factors were described. The diagnosis required a high index of suspicion and the awareness of this uncommon complication of colonoscopy, which should be suspected in any patient with persistent abdominal pain or who is hemodynamically unstable after bowel perforation and bleeding have been excluded.
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