Caecal distension and secondary ischaemia
Recent closure of ileostomy. Now distension and abdominal pain. Past history ultra low anterior resection of rectum.
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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.