Case Presentation: A 56 year old caucasian male with extensive sarcoidosis of the lungs, heart, pancreas and liver had a surveillance 6 month CT scan of the chest+abdomen+pelvis to look for disease progression. Incidentally, he was found to have pneumatosis of the hepatic flexure of colon with surrounding pneumoperitoneum in the absence of associated inflammatory [...]

Case Presentation: We present the case of a 58 -year-old opioid naïve man admitted for elective knee arthroplasty received parenteral hydromorphone and enteral oxycodone for analgesia. On post-operative day one, he developed abdominal pain. Abdominal X-ray showed stool burden suggesting constipation (OIC) prompting management with laxatives; he was given 12 mg parenteral methylnaltrexone. Overnight he [...]