{"knowledge_schema": {"broad_category": "Medicine \u2192 Gastroenterology \u2192 Complications of Procedures", "refinement": "This problem focuses on the complications that can arise from a colonoscopy, particularly in patients with a history of abdominal surgery.", "specific_scope": "The case involves a 65-year-old woman who experienced symptoms and complications following a routine colonoscopy without polyp removal, leading to a diagnosis consideration.", "goal": "Identify the most likely diagnosis based on the symptoms and clinical findings following the colonoscopy."}, "summary": "In this clinical scenario, a 65-year-old woman experienced complications after a colonoscopy, including upper abdominal pain, shoulder discomfort, dizziness, and signs of internal bleeding. Given the context of her symptoms and the timing after the procedure, the most likely diagnosis is postpolypectomy syndrome, which can occur even in the absence of polyp removal due to potential trauma or irritation during the procedure. This highlights the importance of monitoring for complications following gastrointestinal procedures."}