Hemoperitoneum as a Consequence of Colonoscopy.
Hemoperitoneum without evidence of organ damage is a rare complication of colonoscopy. It is most frequently seen in association with splenic rupture due to traction on the splenocolic ligament. In our case, we present a 48-year-old cirrhotic man who developed peritoneal bleeding during a diagnostic colonoscopy for iron deficiency anemia. However, he was without signs of splenic damage or colon perforation. We suggest that the most likely source of bleeding is a ruptured portal-caval collateral vessel based on a computed tomography performed following the procedure.
Department of Internal Medicine, St. Joseph's Hospital and Medical Center, Phoenix, AZ.
Manraj
M
Khosla
Department of Internal Medicine, Creighton University School of Medicine, Omaha, NE.
Luke
L
Webster
Department of Pulmonary Critical Care, University of Arizona Medical Center, Tucson, AZ.
Kareem
K
Ahmad
Department of Gastroenterology, Maricopa Medical Center, Phoenix, AZ.
Keng-Yu
KY
Chuang