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?
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Thursday, October 27, 2011
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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.
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