Ultra low anterior resection for rectal cancer.
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Anastomotic sutures are noted projecting between the coccyx and acetabulum.
Rectally administered contrast has leaked into the presacral space, from the posterior aspect of the anastomotic suture line.
The rate of anastomotic leak for all colorectal surgery is ~3% with ultra-low anterior resections (ULAR) having the highest rate of anastomotic leaks at ~7% 1.