Splenic Rupture: A Delayed and Rare Complication of Colonoscopy

Splenic rupture is an extremely rare but significant complication of colonoscopy with a high mortality rate. Most patients present within 24 to 48 hours post-procedure with abdominal pain, hypotension, and/or syncope. This case report highlights the rare case of a patient presenting nine days post-procedure with splenic rupture. This case highlights the importance of having a high index of suspicion for splenic rupture for up to two weeks after colonoscopy, as a delay in diagnosis can cause rapid clinical deterioration and death. Early diagnosis of splenic rupture can be achieved with CT of the abdomen, which remains the gold standard. Patients should also be made aware of this potentially delayed complication and be advised to monitor for significant abdominal pain for up to two weeks after colonoscopy to ensure prompt management.