Massive gas leak post colonoscopic biopsy
Had colonoscopy in the morning with biopsy of obvious caecal mass. Now distension and pain in the evening ? perforation
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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.