Caecal distension and secondary ischaemia

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 85
Gender: Female
Modality: CT

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.

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Case Information

rID: 19824
Case created: 15th Oct 2012
Last edited: 7th Feb 2016
Inclusion in quiz mode: Included

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