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 17 October 2017

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GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

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GastroenterologySymptoms/signs of gastrointestinal disease

Trauma

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Gastric perforation.
A 76-year old woman who underwent an endoscopy and argon beam coagulation of a water melon stomach. At the end of the procedure, the endoscopist noticed that the patient was rather unwell and had gross surgical emphysema. On withdrawal of the scope, there was a large mucosal laceration in the fundus of the stomach.

This photograph was taken six hours after the perforation and some of the periorbital surgical emphysema is still visible. There was gross surgical emphysema in the neck. The Chest X-ray shows widespread emphysema.

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Peter Devitt, Adelaide, Australia

Gastric perforation.

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