Complications and Risk Factors of Abdominal Organ Injuries during Colonoscopy

Abdominal organ injuries during colonoscopy, though rare, can be serious and life-threatening. Splenic and hepatic injuries are the most common, requiring intervention. Conservative management is possible for pancreatitis. Risk factors include difficult colonoscopy, intra-abdominal adhesions, and excessive force during the procedure. Clinicians should be vigilant for symptoms such as abdominal pain and distension post-colonoscopy. Proper positioning and technique can help reduce the risk of these injuries.