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World J Gastrointest Endosc. Sep 16, 2013; 5(9): 455-456
Published online Sep 16, 2013. doi: 10.4253/wjge.v5.i9.455
Published online Sep 16, 2013. doi: 10.4253/wjge.v5.i9.455
Abdominal pain post endoscopic mucosal resection: Treat the patient not the CT scan
Neel Heerasing, Damian Dowling, Sina Alexander, Department of Gastroenterology, Barwon Health, Geelong, Victoria 3220, Australia
Author contributions: Heerasing N was the primary author of the case; Dowling D and Alexander S were involved in editing the manuscript.
Correspondence to: Neel Heerasing, MBBS, Gastroenterology Registrar, Department of Gastroenterology, Barwon Health, Bellerine St, Geelong, Victoria 3220, Australia. neel.heerasing@gmail.com
Telephone: +61-3-42150000 Fax: +61-3-42152301
Received: July 15, 2013
Revised: August 15, 2013
Accepted: August 20, 2013
Published online: September 16, 2013
Revised: August 15, 2013
Accepted: August 20, 2013
Published online: September 16, 2013
Core Tip
Core tip: This report highlights the importance of correlating clinical findings with radiological ones in a patient who underwent endoscopic mucosal resection of a large ascending polyp. The computed tomography scan in this case reveals a colonic perforation but the patient was symptom free and was managed conservatively without needing surgery. Colonoscopists who undertake endoscopic mucosal resection (EMR) need to be aware that radiological features of perforation can be seen post EMR in the absence of an EMR associated perforation.