[The diagnostic contribution of computed tomography in a case of volvulus of the small intestine after an ileoanal anastomosis].
A case of acquired volvulus as a cause of late small bowel obstruction, in a patient who had undergone a colectomy with ileal pouch-anal anastomosis two years previously, is described. Computed Tomography (CT) accurately demonstrated signs of adhesive strangulating obstruction, detecting also a radial disposition of the loops around the mesenteric root and an abnormal position of the superior mesenteric artery and vein on the right side of the aorta. From a literature survey, there are no previous studies reporting the CT appearance of a small intestine volvulus developed as a complication of an ileal pouch-anal anastomosis.
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Servizio di Radiologia, Ospedale S. Maria delle Grazie, Napoli.
D011125:Adenomatous Polyposis Coli / Q000150:complications / Q000601:surgery; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D007421:Intestine, Small / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D016737:Proctocolectomy, Restorative; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Contributo diagnostico della Tomografia Computerizzata in un caso di volvolo dell'intestino tenue dopo anastomosi ileo-anale.