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Splenic Hematoma after Colonoscopy in a Patient with Protein S Deficiency Managed with Prophylactic Splenic Angioembolization

Maharshi Raval^1*, Faizul Suhail¹, Labdhi Sanghvi², Sagar Patel¹ and Miles Campbell¹

¹Department of Internal Medicine, Landmark Medical Center, Rhode Island, United States

²Department of Pediatrics, Ahmedabad Municipal Corporation's Medical Education Trust Medical College, Ahmedabad, India

Received Date: Jun 20, 2022 / Published Date: Jul 18, 2022

Citation: Raval M, Suhail F, Sanghvi L, Patel S, Campbell M (2022) Splenic Hematoma after Colonoscopy in a Patient with Protein S Deficiency Managed with Prophylactic Splenic Angioembolization. J Gastrointest Dig Syst 12:691.DOI: 10.4172/2161-069X.1000691

Copyright: © 2022 Raval M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Splenic hematoma is a rarely reported complication of colonoscopy. Traction of the splenocolic ligament is the most commonly implicated mechanism leading to this complication. Long term use of anticoagulation is an independent risk factor for splenic injury. We hereby report the first case of splenic hematoma as a complication of colonoscopy in a patient with Protein S deficiency on long term anticoagulation. The patient is a 51 year old female who presented 4 days after screening colonoscopy with increasing left upper quadrant abdominal pain that started within 24 hours of colonoscopy. The diagnosis was confirmed with a CT scan. She was hemodynamically stable with Grade II splenic hematoma managed with prophylactic splenic angioembolization.

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