A 55-year-old man presents to the ED complaining of mild diffuse abdominal pain. He states that he underwent a routine colonoscopy yesterday and was told “everything is fine.” The pain began upon waking up and is associated with some nausea. He denies fever, vomiting, diarrhea, and rectal bleeding. His BP is 143/71 mm Hg, HR is 87 beats per minute, temperature is 98.9°F, and RR is 16 breaths per minute. His abdomen is tense but only mildly tender. You order baseline laboratory tests. His chest radiograph is seen below. Which of the following is the most likely diagnosis? A) Ascending cholangitis B) Acute pulmonary edema C) Acute liver failure D) Pancreatitis E) Pneumoperitoneum

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E. Pnemoperitoneum

Tnx Dr Dinesh Gupta
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E, colonic rupture during colonoscopy Confirm diagnosis, and do colostomy temporarily. Usually sigmoid perforation due to colonoscopy, heals in time with diversion

? E). Pneumoperitoneum

Thanks Dr kute Ankush
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E) Pneumoperitonium-- Complication of colonoscopy.

E

Thanks Dr. Dinesh Gupta
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E. ? Colonoscopy induced perforation likely

THE ANSWER IS E ..... PNEUMOPERITONEUM .. THE. COMPLICATION. OF COLONOSCOPY

Air under the rt dome of diaphragm. Requires emergency laparotomy closure of perforation with omental patch.may help. Maintain vitals. RT Asp for 3 to 5 days nil oral for 3 to 5 days. Till the repair stabilises

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