Oct 2026· Journal of Surgery and Surgical Procedures· 0 citations
TL;DR
Surgeons must maintain a high index of suspicion for splenic injury during post-procedural evaluations of acute abdominal pain, particularly following uncooperative patient encounters or when hidden vascular anomalies exist.
Abstract
Background: Splenic rupture is an exceptionally rare, life-threatening complication of diagnostic upper gastrointestinal endoscopy. It is traditionally secondary to direct mechanical traction or sudden spikes in intra-abdominal pressure.
Case Presentation: A 53-year-old male presented with haemorrhagic shock and acute abdomen 24 hours post-endoscopy. The procedure was complicated by persistent, intense retching. Contrast-enhanced computed tomography (CECT) demonstrated a 4.9 cm splenic lower pole laceration, acute hematoma, and gross hemoperitoneum. Following progressive hemodynamic decline and a haemoglobin drop from 9.7 g/dL to 6.7 g/dL, emergency splenectomy was performed. Histopathology unexpectedly confirmed an underlying cavernous hemangioma at the lower pole with capsular rupture.
Conclusions: Surgeons must maintain a high index of suspicion for splenic injury during post-procedural evaluations of acute abdominal pain, particularly following uncooperative patient encounters or when hidden vascular anomalies exist.
Background: Post-endoscopic retrograde cholangiopancreatography pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography, with variable severity. Splenic complications are rare but potentially life-threatening.
Case presentation: We report the case of a 54-year-old woman with a his...
M. Bennani, Nihad Lachkar, Y. Aouni· World Journal of Advanced Re...· 0 citations
Introduction and importance: Splenic injury following endoscopic retrograde cholangiopancreatography (ERCP) is an exceptionally rare but potentially life-threatening complication. Case presentation: We report the case of a female patient admitted with obstructive jaundice and suspected periampullary malignancy associat...
B. Oluić, Dragan Vasin· International journal of sur...· 0 citations
Atraumatic splenic rupture is an extremely rare cause of deterioration in the context of concurrent abdominal pathology. This case report describes rapid deterioration and shock in a mid‐50s‐year‐old man with acute complicated sigmoid diverticulitis 3 days into admission without history of abdominal trauma. This was as...
Shasha Haycock, An-Nie J. Wang, Kristy P. Mansour et al.· Case Reports in Surgery· 0 citations
Background Spontaneous rupture and hemorrhage of a simple hepatic cyst is a rare but potentially life-threatening complication, particularly in elderly patients. Because its clinical and imaging findings may mimic other complex cystic liver lesions, timely diagnosis and appropriate intervention are essential. Case pres...
Jin-Feng Qiu, Chang-Zhi Chen, Lin Li· Frontiers in Surgery· 0 citations
BACKGROUND
Perforation is a rare but potentially fatal complication of upper gastrointestinal endoscopy, particularly when therapeutic maneuvers are performed. Posterior gastric wall perforation is particularly difficult to recognize because it may decompress into the lesser sac rather than the free peritoneal cavity...
O. Cakiroglu, Julide Gurbuz, B. Taşlıdere et al.· World Journal of Clinical Ca...· 0 citations
Lower gastrointestinal bleeding is a frequent cause of emergency department admission and may range from self-limiting conditions to life-threatening hemorrhage. While most cases originate from benign anorectal or colonic pathology, vascular etiologies are rare and often underrecognized, particularly in patients withou...
H. Soyer, S. Sayar, Sinan Aslan et al.· Journal of Emergency Medicin...· 0 citations
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