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Case 183: Post operative pain

A 46 year old man underwent a laparoscopic antireflux operation. He was discharged well but presented to the emergency department 5 days post op with severe right sided and epigastric abdominal pain. He was afebrile, not tachycardic and his abdomen was soft and non-tender.

1. What potential complications would concern you?

2. What does the CT scan show?