The patient is a 68-year-old male who presented with an intestinal obstruction that required surgical intervention. The patient was examined and the diagnosis of small bowel obstruction was suspected and preparations for colonoscopy were made. The procedure was noted to be simple and uncomplicated and a total of 14 polyp resections were noted in the chart, the polyps were between 3-4 mm in size. The procedure lasted approximately 25 minutes. The patient complained of abdominal pain following the procedure and the patient was examined and the abdomen was described to be soft, non-tender and non-distended. He was cleared for discharge and told to contact the doctor if any fever or chills persisted. The patient was later brought to the ER in excruciating pain. Abdominal imaging studies reveal that a perforation was spilling fecal contaminants into his abdomen. The patient developed sepsis and died shortly after the surgery to repair the perforated colon.