Severe splenic rupture after colorectal endoscopic submucosal dissection

Figure 1 Endoscopy view of lateral spreading tumor granular mixed type (0-Is + IIa), 30 mm size (descending colon).

Figure 2 Computerized tomography images. A, B: Multiplanar sagital and coronal reformation images: periesplenic hematoma (black arrow) and large hemoperitoneum (white arrows); C: Active splenic vascular contrast extravasation: focal areas of high attenuation (arrow) in splenic subcapsular space. ¹Spleen.

Figure 3 Pathology images. A: Macroscopic appearance of resected specimen post formalin-fixed; B: Histological appearance of tubular adenoma featuring mucosal low-grade neoplasia and normal mucosa. Hematoxylin and eosin staining section (× 25).