Cecal distension and secondary ischemia

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

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

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Case information

rID: 19824
Published: 15th Oct 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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