Díaz Alcázar, María Del MarGarcía Robles, AdelinaMartín-Lagos Maldonado, Alicia2023-02-092023-02-0920211130-0108http://hdl.handle.net/10668/16646The case was an 86-year-old male with multiple cardiovascular comorbidites, including anticoagulated atrial fibrillation, who underwent a colonoscopy due to acute lower gastrointestinal bleeding and anemia. Colonoscopy only showed some small angiodysplasias in the cecum. A few hours later, the patient presented with abdominal pain and hemodynamic instability. An abdominal computed tomography was performed, which showed a splenic laceration and hemoperitoneum. An expectant attitude was decided, with a good evolution from the abdominal point of view. There was no sign of active splenic bleeding in a control computed tomography. However, he developed decompensated heart failure and finally died.enAged, 80 and overColonoscopyHemoperitoneumHumansMaleSplenectomySplenic RuptureTomography, X-Ray Computedresearch article33222479open access10.17235/reed.2020.7342/2020https://doi.org/10.17235/reed.2020.7342/2020