This case involves a 58- year-old-man who underwent an elective colonoscopy in an outpatient facility. He was discharged home shortly after the procedure. While at home, he began to feel very ill and fainted in his kitchen. He was brought to the emergency room where a spleen laceration was identified. Embolization was initially attempted, however, his hemoglobin continued to drop and he became increasingly symptomatic. He was then taken to the operating room for an emergent splenectomy, where an excess of blood was found in his chest cavity.