A 27-year-old female with a history of Crohn�s disease and familial adenomatous\npolyposis (FAP) presented to the emergency department (ED) with\nsevere abdominal pain after an endoscopic exam. Chest and abdominal radiographs\nrevealed massive pneumoperitoneum and the patient underwent\nemergent exploratory surgery. Herein, we discuss the management and outcomes\nof this case. The importance of a thorough history and physical exam\nwhen evaluating for an acute abdomen and thus the development of a successful\nmanagement plan is also underscored
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