Massive gas leak post colonoscopic biopsy

Case contributed by Dr Chris O'Donnell


Had colonoscopy in the morning with biopsy of obvious caecal mass. Now distension and pain in the evening ? perforation

Patient Data

Age: 75
Gender: Female

Extensive free gas adjacent to a mass lesion in the caecum/ascending colon (arrow) that was biopsied at colonoscopy. Free gas is also in the peritoneal cavity, subcutaneous fat of the abdomen and buttocks, retroperitoneum, mediastinum and chest wall.

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Case information

rID: 28429
Published: 25th Mar 2014
Last edited: 8th Jul 2017
Inclusion in quiz mode: Included

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