An infrequent cause of abdominal pain following a colonoscopy

Spain an 82-year-old female presented with abdominal pain Amoxicillin-Clavulanate two days after undergoing a colonoscopy. Her past medical history was remarkable for atrial fibrillation on oral anticoagulation and hypertension. She discontinued Acenocumarol 5  days prior to the endoscopy and received low-molecular-weight heparin (LMWH) as bridging therapy (last dose 24 h before the procedure). During colonoscopy, 7 small sessile polyps were removed by cold snare polypectomy. Anticoagulation (LMWH and Acenocumarol) was restarted 24 h later.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Image of the Month Source Type: research