[Spontaneous splenic rupture following endoscopic studies: a case report].

Rev Gastroenterol Peru

Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Servicio de Cirugía General, Clínica Las Vegas, Medellín, Colombia.

Published: January 2025

Endoscopic procedures, currently, are characterized by being minimally invasive diagnostic and therapeutic methods, which allow the management of a wide number of pathologies and in the hands of a good operator, present few complications. Both traumatic and spontaneous splenic rupture is a rare entity, mainly associated with abdominal trauma or splenomegaly due to hematological diseases, respectively. Splenic rupture secondary to endoscopic studies is a complication with a mortality close to 5%, of which only 100 cases have been reported to date, none of them in Colombia. Thereafter is the case of a patient who, after an upper digestive endoscopy and colonoscopy, presented a splenic rupture, in whom the non-operative management initially proposed failed, requiring emergent splenectomy, with satisfactory results.

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