P014: SPLENIC INJURY FOLLOWING OUTPATIENT COLONOSCOPY RESULTING IN HEMORRHAGIC SHOCK AND EMERGENT SPLENECTOMY: AN ANESTHETIC PERSPECTIVE
Thomas Stinson, DO; Shawn Chakraborty, DO; Alejandro Mosquera, MD
HCA Oak Hill
Background: Colonoscopy is a common outpatient procedure that carries a low complication rate. Splenic injury is an uncommon but possibly deadly complication that does not regularly present immediately, thereby delaying diagnosis, raising risk of hemorrhagic shock, and emergent surgical procedures.
Case Presentation: We report the case of a 61-year-old female that presented with syncope, hypotension, and tachycardia one day after outpatient colonoscopy. Hemoperitoneum and splenic laceration were revealed on imaging. She required an emergent exploratory laparotomy and splenectomy with substantial perioperative resuscitation.
Discussion: This case highlights the processes, risk factors, diagnostic trials, and perioperative factors associated with colonoscopy caused splenic injury, with highlighting on anesthetic management in hemorrhagic shock.
Conclusion: Early identification and prompt multidisciplinary management are vital to decrease morbidity and mortality accompanying this uncommon complication.