Table 1.

Summary of 42 Cases of Splenic Injury After Colonoscopy

Reference*	Age	Sex	Anemia	Leucocytosis	Symptom Onset >24 hrs	Kehr's Sign	Diagnosis†	Treatment	Outcome
1	72	F	−	+	+	+	CT	Splenectomy
3	57	F	+	−	−	−	CT	Splenectomy
3	60	F	+		−	+	CT	Splenectomy
4	53	F	+	+	−	+	Angiogram	Splenectomy
5	33	F	−	+	−	+	Laparotomy	Splenectomy
6	71	F	+	+	−	+	Laparotomy	Splenectomy
7	76	M			−		Laparotomy	Splenectomy	Mortality
8	45	F	+	+	−	−	Laparotomy	Splenectomy
9	70	F	−	−	Asx	−	Laparotomy	Splenectomy
10	62	F	+		−	−	CT	Splenectomy
11	60	F	+	+	−	+	Laparotomy	Splenectomy
12	62	F	+	+	−	+	CT	Conservative
13	66	M	+	+	+	−	CT	Splenectomy
14	90	M	+		−	−	CT	Conservative
14	74	F	+		−	+	CT	Conservative
15	82	M	−	+	−	−	Autopsy	ACLS	Mortality
16	59	F	+		−		US	Splenectomy
17	63	M	+		−		Laparotomy	Splenectomy
18	70	F	+		−		Laparotomy	Splenectomy
19	66	M	+	+	+	+	CT	Conservative
20	57	F	+		−		CT	Splenectomy
21	70	M	+	+	+		CT	Splenectomy
22	52	F			−		US/CT	Conservative
23	65	F	+		−	+	US/CT	Conservative
24	63	M	+		+		CT	Embolization
25	47	F	+		+	+	CT	Splenectomy
26							Laparotomy	Splenectomy	Mortality
27	75	F	+		−		Laparotomy	Splenectomy
28	73	F	+	−	−	+	CT	Conservative
29	55	F	+	−	+	+	CT	Splenectomy
30							Laparotomy	Splenectomy
31	57	F	−		−	+	CT	Splenectomy
31	80	M	−	+	−	−	Laparotomy	Splenectomy
31	52	F	−	−	−	+	CT	Conservative
31	29	F	+	−	+	−	CT	Splenectomy
32	73	F	+		−		CT	Splenectomy
33	39	F	+	+	−	−	US	Splenectomy
34	69	M	−	+	−	−	US	Splenectomy
35	68	M	+	+	−	−	CT	Conservative
36	58	F	−	+	−	+	CT	Splenectomy
37	75	F	+		+		CT	Conservative
44‡	82	F	+	+	−	−	CT	Splenectomy

^*Details were not provided in some cases.

^†CT = computed tomography; US = ultrasound; ACLS = advanced cardiac life support.

^‡Reference 44 refers to current case.