Case Discussion -26082016Created by:
An elderly patient with background of hypertension, previous stroke, ischeamic heart disease, and type 2 diabetes mellitus, attended for endoscopy procedures - day case (gastrosocpy and colonoscopy) with the indication of weight loss and iron deficiency ananemia. Gastroscopy was normal. Colonoscopy showed 5 polyps in the colon, which were all removed by either forcep of snare, and sent for histology. Post procedures, patient complainted of persistent abdominal pain, discomfort, rate the pain as 8-9/10, not relieving by analgesia given. On examination, his abdomen is slightly tender throughout, but no sign of acute surgical abdomen. What is your impression ? What will be your management plan or investigation ??