Splenic Perforation following Colonoscopy

Splenic perforation represents a rare complication of colonoscopy. In our report we have reviewed the experience reported in the world literature, including proposed mechanisms, risk factors for splenic perforation and available management options. We have also discussed our concerns for under reporting. We had a total of 4 cases of splenic perforation following colonoscopies at our centre. One patient had a small splenic laceration repaired; two were observed closely and discharged without intervention. The patient mentioned below required a splenectomy.