Thursday, October 27, 2011

Diagnostic Arrow Sign

A 60 year old man with Crohn's disease undergoes a colonic and low anterior resection that is uncomplicated. He shows up to his follow-up appointment 6 days later and complains of low grade fever, prolonged ileus, moderate pain, and feculent drainage. Exam shows a mild tachycardia. Imaging is shown above.

Challenge: What's your diagnosis?

Image shown under Fair Use.

1 comment:

Craig Chen said...

Diagnostic Arrow Sign

This is anastamotic dehiscence and leak; the CT is concerning for abscess with the rim-like enhancement of a fluid collection (arrows) adherent to bowel (arrowheads).

Sources: UpToDate; radiographics.rsna.org.