title: Splenic rupture after colonoscopy: Report of a case and review of literature.
abstract: Splenic rupture is a rare complication of colonoscopy. For this reason the diagnosis could be delayed and the outcome dismal. Fifty-four cases of splenic rupture after colonoscopy have been described in the literature. The majority of the cases required emergent or delayed splenectomy, 13 of these cases were treated conservatively. The main feature that stands out from the review of the literature is the "surprise" of this unexpected complication. This factor explains the elevated mortality (2 out of 54 cases), likely due to the delay in diagnosis. The case here described is probably among the most complex published in the literature; in fact the presence of dense intra-abdominal adhesions not only contributed to the complication itself, but also explain the confinement of the hemoperitoneum to the left supra-mesocolic space and the delayed presentation (13 days from the time of the trauma).
authors.affiliation: University of Catania Medical School, Policlinico, Department of Surgery, Catania, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cappellani
authors.affiliation: University of Catania Medical School, Policlinico, Department of Surgery, Catania, Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Di Vita
authors.affiliation: University of Catania Medical School, Policlinico, Department of Surgery, Catania, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Zanghì
authors.affiliation: University of Catania Medical School, Policlinico, Fellowship in Surgical Physio-Pathology, Catania, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Cavallaro
authors.affiliation: University of Catania Medical School, Policlinico, Department of Surgery, Catania, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Alfano
authors.affiliation: University of Catania Medical School, Policlinico, Department of Surgery, Catania, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Piccolo
authors.affiliation: University of Miami, Miller School of Medicine, Department of Surgery, Miami, Florida, USA.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Lo Menzo