Rectal anastomotic leak

Case contributed by Dr Ian Bickle

Presentation

Day 6 post rectal surgery for mid-low rectal cancer. Distended abdomen. Anastomotic leak?

Patient Data

Age: 57
Gender: Male
Modality: CT
Modality: Photo

Repeat laparotomy performed. 

Details of operation from surgeon.

Case Discussion

Rectal contrast administration can be of use in CT imaging, particularly when concern over an anastomotic leak is raised from the clinician.

In this case contrast leaks through a leak above the anastomosis line into the pre-sacral space.

Traditional fluoroscopy can also be performed and has the advantage of being dynamic in viewing the leak.

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Case Information

rID: 48488
Case created: 10th Oct 2016
Last edited: 30th Nov 2016
Inclusion in quiz mode: Included

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