title: Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature.
abstract: An 88-year-old female presented with dyspnea on exertion and severe anemia. Colonoscopy was unremarkable and the patient was transfused with packed red blood cells prior to discharge. The patient returned 2 weeks later with severe abdominal pain, hypotension, and anemia. Computed tomography revealed splenic hematoma and hemoperitoneum. She bled from the surgical sites during emergent splenectomy and work-up revealed hemophilia A. We present, to our knowledge, a case of the longest reported delay in presentation of post-colonoscopy splenic rupture and the first in a patient with hemophilia A.
authors.affiliation: Department of Medicine, Advocate Lutheran General Hospital, Park Ridge, IL.
authors.forename: Andrew
authors.initials: A
authors.lastname: Mazulis
authors.affiliation: Section of Endoscopic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
authors.forename: Asif
authors.initials: A
authors.lastname: Lakha
authors.affiliation: Division of Gastroenterology, Advocate Lutheran General Hospital, Park Ridge, IL.
authors.forename: Baseer
authors.initials: B
authors.lastname: Qazi
authors.affiliation: Division of Gastroenterology, Advocate Lutheran General Hospital, Park Ridge, IL.
authors.forename: Alan
authors.initials: A
authors.lastname: Shapiro