A Woman With Dizziness and Shoulder Pain After Colonoscopy

Saad A. Shebrain, MD; Patrick Knight, MD

Disclosures

July 31, 2020

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to recognize accurately. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a Case Challenge, please contact us.

Background

A 65-year-old woman with a prior history of a cesarean delivery underwent a routine outpatient screening colonoscopy that was reported to be slightly difficult. No polypectomy was performed during the procedure.

Twelve hours later, the patient started experiencing upper abdominal pain and left-shoulder discomfort. On postprocedure day 1, she developed dizziness and was taken to the emergency department at a local hospital for evaluation.

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