Collection around ileocolic anastomosis

Case contributed by Dr Vikas Shah

Presentation

Had right hemicolectomy and ileocolic anastomosis formation 1 week earlier. Now has pain and raised temperature and inflammatory markers.

Patient Data

Age: 35 years
CT

CT abdomen and pelvis

There is a gas and fluid containing collection extending from the level of the umbilicus to the pelvis, predominantly on the right side. It measures 15 cm in maximal diameter and is intimately related to the ileocolic anastomosis. A distended loop of jejunum is seen containing faecalised content, unchanged from prior imaging and due to a fibrostenotic stricture. A percutaneous gastrostomy is also present.

Case Discussion

The finding of a new gas and fluid containing collection with enhancing margins adjacent to an anastomosis is strongly suspicious for a leak.

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Case information

rID: 55502
Case created: 10th Sep 2017
Last edited: 20th Nov 2017
Inclusion in quiz mode: Included

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