Sistema gastrointestinal y digestivo

Abstracto

Splenic Hematoma after Colonoscopy in a Patient with Protein S Deficiency Managed with Prophylactic Splenic Angioembolization

Maharshi Raval1*, Faizul Suhail1, Labdhi Sanghvi2, Sagar Patel1 and Miles Campbell1

Splenic hematoma is a rarely reported complication of colonoscopy. Traction of the splenocolic ligament is the most commonly implicated mechanism leading to this complication. Long term use of anticoagulation is an independent risk factor for splenic injury. We hereby report the first case of splenic hematoma as a complication of colonoscopy in a patient with Protein S deficiency on long term anticoagulation. The patient is a 51 year old female who presented 4 days after screening colonoscopy with increasing left upper quadrant abdominal pain that started within 24 hours of colonoscopy. The diagnosis was confirmed with a CT scan. She was hemodynamically stable with Grade II splenic hematoma managed with prophylactic splenic angioembolization.