Patient had a CT scan after this which showed splenic rupture and bleeding and intraperitoneal bleeding from the procedure. No free air.
The patient had a large volume hemoperitoneum from a ruptured subcapsular hematoma of the spleen following a colonoscopy requiring emergent ex-lap.
Procedure performed:
- Exploratory laparotomy
- Splenectomy
- Mobilization of the splenic flexure
- Abdominal washout.