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Post-surgical loculated fluid collection

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Persistent fever in recent pancreatic head resection

Patient Data

Age: 55
Gender: Male

RX chest 2P                    

Between gastric bubble and transverse colon in both projections is visible large air-fluid level.

TC abdomen with contrast    

In the surgical site there is massive fluid loculated collection with gas bubbles inside and two laminar drainage.

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