Abstract
Question: A 71-year-old man with paroxysmal atrial fibrillation and prostate cancer requiring transurethral resection presented with progressively severe diffuse abdominal pain, bloating, abdominal distention, nausea, and intractable vomiting of 2 days’ duration. Four days before presentation, he underwent successful radiofrequency ablation of the right and left pulmonary vein inlet tract; 35 W radiofrequency ablation was delivered around both sides of the pulmonary veins in a wide circumferential fashion by extending the circumferential lesion over the posterior walls bilaterally and carina area of the left-side pulmonary veins per protocol. His medications on admission included 100 mg flecainide twice daily, 40 mg pantoprazole daily, 20 mg rivaroxaban daily, and 20 mg simvastatin daily
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