{"id":"https://openalex.org/W7124705478","doi":"https://doi.org/10.7759/cureus.101763","title":"Delayed Splenic Rupture 48 Hours After a Colonoscopy: A Case Report","display_name":"Delayed Splenic Rupture 48 Hours After a Colonoscopy: A Case Report","publication_year":2026,"publication_date":"2026-01-18","ids":{"openalex":"https://openalex.org/W7124705478","doi":"https://doi.org/10.7759/cureus.101763","pmid":"https://pubmed.ncbi.nlm.nih.gov/41710857","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12910406"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.101763","doi":"https://doi.org/10.7759/cureus.101763","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.101763","pdf_url":"https://www.cureus.com/articles/394057-delayed-splenic-rupture-48-hours-after-a-colonoscopy-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/394057-delayed-splenic-rupture-48-hours-after-a-colonoscopy-a-case-report.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5106425430","display_name":"Parthena Samara","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Parthena Samara","raw_affiliation_strings":["General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051510190","display_name":"Sergios Konstantinidis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sergios Konstantinidis","raw_affiliation_strings":["General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016021967","display_name":"Anastasios Katsourakis","orcid":"https://orcid.org/0000-0002-5151-9449","observed_orcids":["https://orcid.org/0000-0002-5151-9449"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anastasios Katsourakis","raw_affiliation_strings":["General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093725614","display_name":"Michael N. Chrysikos","orcid":"https://orcid.org/0000-0003-0798-9897","observed_orcids":["https://orcid.org/0000-0003-0798-9897"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael N Chrysikos","raw_affiliation_strings":["Urology, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122224416","display_name":"Konstantinos Peidis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Konstantinos Peidis","raw_affiliation_strings":["General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017928879","display_name":"Iosif Hadjis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Iosif Hadjis","raw_affiliation_strings":["General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, General Hospital of Thessaloniki \"Gennimatas-Agios Dimitrios\", Thessaloniki, GRC","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5106425430"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":4.3566,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.87548015,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"18","issue":"1","first_page":"e101763","last_page":"e101763"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/splenic-rupture","display_name":"splenic rupture","score":0.9369999766349792},{"id":"https://openalex.org/keywords/colonoscopy-complications","display_name":"colonoscopy complications","score":0.9300000071525574},{"id":"https://openalex.org/keywords/hemoperitoneum","display_name":"hemoperitoneum","score":0.890999972820282},{"id":"https://openalex.org/keywords/splenectomy","display_name":"splenectomy","score":0.9520000219345093},{"id":"https://openalex.org/keywords/anemia","display_name":"anemia","score":0.6909999847412109},{"id":"https://openalex.org/keywords/splenic-flexure","display_name":"splenic flexure","score":0.6859999895095825},{"id":"https://openalex.org/keywords/endoscopic-biopsy","display_name":"endoscopic biopsy","score":0.38499999046325684}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9922000169754028},{"id":"https://openalex.org/C2778259530","wikidata":"https://www.wikidata.org/wiki/Q1510899","display_name":"Hemoperitoneum","level":2,"score":0.8264999985694885},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6108999848365784},{"id":"https://openalex.org/C2776309230","wikidata":"https://www.wikidata.org/wiki/Q580383","display_name":"Splenectomy","level":3,"score":0.5827000141143799},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.5521000027656555},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5315999984741211},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.48829999566078186},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.43860000371932983},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.397599995136261},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.38830000162124634},{"id":"https://openalex.org/C2781214320","wikidata":"https://www.wikidata.org/wiki/Q1545572","display_name":"Splenic infarction","level":3,"score":0.33820000290870667},{"id":"https://openalex.org/C2776619665","wikidata":"https://www.wikidata.org/wiki/Q9371","display_name":"Splenic disease","level":4,"score":0.30219998955726624},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.29980000853538513},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.29589998722076416},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.27000001072883606},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.2687999904155731},{"id":"https://openalex.org/C2780639617","wikidata":"https://www.wikidata.org/wiki/Q6516972","display_name":"Quadrant (abdomen)","level":2,"score":0.2639000117778778}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.101763","doi":"https://doi.org/10.7759/cureus.101763","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.101763","pdf_url":"https://www.cureus.com/articles/394057-delayed-splenic-rupture-48-hours-after-a-colonoscopy-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:41710857","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41710857","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:12910406","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12910406/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.101763","doi":"https://doi.org/10.7759/cureus.101763","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.101763","pdf_url":"https://www.cureus.com/articles/394057-delayed-splenic-rupture-48-hours-after-a-colonoscopy-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7124705478.pdf","grobid_xml":"https://content.openalex.org/works/W7124705478.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W33874228","https://openalex.org/W1989123506","https://openalex.org/W2040719602","https://openalex.org/W2051066205","https://openalex.org/W2057069712","https://openalex.org/W2196544332","https://openalex.org/W2237908538","https://openalex.org/W2318630508","https://openalex.org/W2345759300","https://openalex.org/W2401155090","https://openalex.org/W2427807572","https://openalex.org/W2489612413","https://openalex.org/W2895824610","https://openalex.org/W3000555752","https://openalex.org/W3020923259","https://openalex.org/W4214744679","https://openalex.org/W4361007820"],"related_works":["https://openalex.org/W2269964972","https://openalex.org/W3391017","https://openalex.org/W2292454214","https://openalex.org/W2170068662","https://openalex.org/W7167427163","https://openalex.org/W2586170224","https://openalex.org/W7099596204","https://openalex.org/W4402453307","https://openalex.org/W4410458233","https://openalex.org/W168541084"],"abstract_inverted_index":{"Splenic":[0],"rupture":[1],"following":[2],"colonoscopy,":[3],"although":[4],"uncommon,":[5],"is":[6],"a":[7,76,79,91,114,145,155],"potentially":[8],"life-threatening":[9],"complication":[10],"that":[11],"all":[12],"medical":[13],"doctors":[14],"should":[15,153],"consider":[16],"in":[17,163],"their":[18],"differential":[19],"diagnosis.":[20],"Several":[21],"risk":[22],"factors":[23,54],"contribute":[24],"to":[25,84],"this":[26],"condition,":[27],"including":[28],"exogenous":[29],"elements":[30],"such":[31,69],"as":[32,50,52,70],"the":[33,47,85,135],"endoscopist's":[34],"experience,":[35],"patient":[36,56,124],"positioning,":[37],"medications,":[38],"mechanical":[39],"force":[40],"during":[41],"endoscope":[42],"advancement,":[43],"and":[44,67,100,110,113,127,140,168],"technique":[45],"at":[46],"splenic":[48,121,161],"flexure,":[49],"well":[51],"endogenous":[53],"like":[55],"anatomy,":[57],"perisplenic":[58],"adhesions,":[59],"inflammatory":[60],"or":[61,72],"infectious":[62],"diseases,":[63],"hematological":[64],"disorders,":[65],"malignancy,":[66],"interventions":[68],"biopsy":[71],"polypectomy.":[73],"We":[74],"report":[75],"case":[77],"of":[78,148,158],"59-year-old":[80],"woman":[81],"who":[82],"presented":[83],"emergency":[86],"department":[87],"48":[88],"hours":[89],"after":[90],"colonoscopy":[92,133],"with":[93,144,166],"left":[94],"upper":[95],"quadrant":[96],"abdominal":[97],"pain,":[98],"weakness,":[99],"pallor.":[101],"Laboratory":[102],"tests":[103],"showed":[104],"anemia.":[105],"She":[106],"had":[107],"ongoing":[108],"pain":[109],"hemodynamic":[111],"instability,":[112],"computed":[115],"tomography":[116],"revealed":[117],"hemoperitoneum":[118],"caused":[119],"by":[120],"rupture.":[122],"The":[123],"underwent":[125],"splenectomy":[126],"subsequently":[128],"recovered":[129],"without":[130],"complications.":[131],"Although":[132],"remains":[134],"gold":[136],"standard":[137],"for":[138,160],"diagnosing":[139],"managing":[141],"colorectal":[142],"diseases":[143],"low":[146],"incidence":[147],"serious":[149],"adverse":[150],"events,":[151],"physicians":[152],"maintain":[154],"high":[156],"index":[157],"suspicion":[159],"injury":[162],"patients":[164],"presenting":[165],"anemia":[167],"recent":[169],"large":[170],"bowel":[171],"endoscopy.":[172]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-01-20T00:00:00"}