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Caecal distension and secondary ischaemia

Case contributed by: Dr Chris O'Donnell

Presentation:

Recent closure of ileostomy. Now distension and abdominal pain. PH ultra low anterior resection of rectum.

Patient Data:

Age: 85

Gender: Female

Race: Caucasian

From the case: Caecal distension and secondary ischaemia

Modality: CT

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C+ portal venous phase

Gross gaseous distension of the caecum due to distal obstruction at the anal anastomosis. The caecal mucosa is thickened, ragged and contains gas bubbles consistent with at least venous ischaemia. No gas within draining veins.