Post-operative intra-abdominal collections

Case contributed by Hani Makky Al Salam

Presentation

Post colon cancer resection and multiple small bowel loops resection.

Patient Data

Age: 40 years
Gender: Female

Multiple intra-abdominal collections are seen both para-colic gutters and within the pelvis showing air loculi and air-fluid levels. 

Collections such as this can usually be managed with image guided drainage, typically under ultrasound guidance with a 3 part drain, such as shown.

Case Discussion

The case demonstrates the benefit of the oral contrast in delineating the intra-abdominal collections to a better extent.

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