Splenic injuries secondary to colonoscopy: Rare but serious complication

Table 1 Details of case reports and Clavein-Dindo Classification of Post-Operative complication (computed tomography)

Ref.	Age	Sex	Reason for colonoscopy	Type of injury	Diagnosis	Management	Clavein-Dindo classification of Post-Operative complication
Keeven et al[7]	52	Male	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Suliman et al[8]	59	Female	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Diéguez Castillo et al[9]	53	Female	Bleeding	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Zhang et al[11]	63	Female	Weight Loss	Splenic injury/hematoma	CT	Conservative management	Grade I
Chime et al[12]	51	Female	Screening	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Ungprasert et al[13]	59	Male	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Laiz Díez et al[14]	40	Female	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Laiz Díez et al[14]	80	Female	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Barbeiro et al[15]	73	Female	Bleeding	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Li et al[16]	65	Female	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Nallayici et al[17]	71	Male	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Pavlidis et al[19]	74	Male	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Steele et al[20]	60	Female	Screening	Splenic rupture	CT	Conservative management	Grade I
Ozogul et al[21]	69	Female	Polypectomy	Splenic injury/hematoma	CT	Conservative management	Grade I
Mccarty et al[24]	71	Male	Bleeding	Splenic injury/hematoma	CT	Conservative management	Grade I
Jehangir et al[22]	76	Female	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Zappa et al[26]	73	Male	Abdominal pain	Splenic injury/hematoma	CT	Laparotomy/ splenectomy	Grade III
Lahat et al[4]	61	Male	Screening	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Lahat et al[4]	68	Male	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Lahat et al[4]	85	Female	Polypectomy	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Lahat et al[4]	54	Male	Polypectomy	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Lahat et al[4]	65	Male	Screening	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Lahat et al[4]	59	Male	Polypectomy	Splenic injury/hematoma	CT	Laparoscopy	Grade III
Mulkerin et al[27]	NA	NA	Screening	Splenic injury/hematoma	CT	Laparoscopy	Grade III
García García et al[28]	58	Female	Screening	Splenic injury/hematoma	CT	Laparoscopy	Grade III
Sbai et al[29]	70	Male	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Ng et al[31]	63	Female	Screening	Splenic injury/hematoma	CT-Angiogram	Conservative management	Grade I
Mazulis et al[32]	88	Female	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Kapur et al[33]	76	Female	Bleeding	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Han et al[34]	77	Male	Polypectomy	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Brennan et al[38]	75	Female	Screening	Splenic injury/hematoma	CT	Proximal splenic artery embolization	Grade III
Herreros de Tejada et al[39]	65	Female	Submucosal Dissection of tumor	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Lauretta et al[40]	61	Male	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Jamorabo et al[42]	63	Male	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Guner et al[44]	53	Male	Abdominal Pain	Splenic injury/hematoma	CT	Bed rest, blood transfusion, observation	Grade II
McBride et al[45]	64	Female	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Rex et al[46]	68	Female	NA	NA	CT	Conservative management	Grade I
Rex et al[46]	52	Female	Polypectomy	Splenic injury/hematoma	CT	Conservative management	Grade I
Rex et al[46]	61	Female	NA	NA	CT	Conservative management	Grade I
Rex et al[46]	58	Female	NA	NA	CT	Conservative management	Grade I
Rex et al[46]	74	Female	NA	NA	CT	Conservative management	Grade I
Rex et al[46]	85	Female	NA	NA	CT	Conservative management	Grade I
Chow et al[47]	84	Female	Bleeding	Splenic injury/hematoma	CT	Fluids/blood/splenic artery embolization	Grade III
Pineda et al[48]	62	Female	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Corcillo et al[49]	66	Male	Bleeding	Splenic rupture	CT	Proximal splenic artery embolization	Grade III
Corcillo et al[49]	77	Female	Polypectomy	Splenic rupture	CT	Proximal splenic artery embolization	Grade III
Abunnaja et al[50]	62	Female	Screening	Splenic injury/hematoma	CT	Ringers lactate, blood, splenectomy, vaccinations	Grade II
González-Soler et al[51]	67	Male	Screening	Splenic rupture	CT	Laparotomy/splenectomy	Grade III
Seifman et al[52]	41	Female	Screening	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Singla et al[54]	NA	NA	Screening	NA	CT	NA	NA
Shankar et al[56]	47	Female	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Fishback et al[58]	64	Female	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Fishback et al[58]	59	Female	Bleeding	Splenic injury/hematoma	CT	Conservative management	Grade I
Fishback et al[58]	55	Female	Bleeding	Splenic injury/hematoma	CT	Laparotomy/ splenectomy	Grade III
Fishback et al[58]	65	Male	Polypectomy	NA	CT	Laparotomy/splenectomy	Grade III
Fishback et al[58]	56	Female	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Fishback et al[58]	51	Female	Screening	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Fishback et al[58]	54	Female	Screening	Splenic injury/hematoma	CT	Conservative management	Grade I
Fishback et al[58]	68	Female	Screening	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Fishback et al[58]	84	Female	Bleeding	Splenic injury/hematoma	CT	Conservative management	Grade I
Fishback et al[58]	64	Male	Bleeding	Splenic injury/hematoma	CT	Conservative management	Grade I
Fishback et al[58]	64	Male	Screening	Splenic injury/hematoma	CT	Proximal splenic artery embolization/splenectomy	Grade III
Bertoglio et al[59]	70	Male	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Sachdev et al[61]	68	Female	Bleeding	Splenic injury/hematoma	CT	Laparotomy/splenectomy	Grade III
Meier et al[62]	68	Female	Bleeding	NA	CT	Laparotomy/splenectomy	Grade III

NA: Not available; CT: Computed tomography.