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Volume 357:2309-2310 November 29, 2007 Number 22
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Medical Mystery: An Unusual Complication of Colonoscopy — The Answer

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by Gladman, M. A.
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To the Editor: The medical mystery in the October 4 issue1 involved a 69-year-old man with left inguinoscrotal erythema, swelling, and tenderness after colonoscopy, during which he had undergone polypectomy of a moderately dysplastic tubular adenoma of the sigmoid colon. A computed tomographic (CT) scan of the patient's pelvis revealed free air in the left hemiscrotum (Figure 1A). Further CT images of the abdomen and pelvis revealed marked diverticular disease affecting the distal colon and widespread gas in the retroperitoneal tissues, spreading along the left renal fascia (Figure 1B) and along the left psoas muscle down . . . [Full Text of this Article]



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