Complications of abdominal and pelvic procedures: computed tomographic diagnosis.
The postprocedural period is a critical time in which serious complications can manifest. Localization of suspected complications following abdominal and pelvic procedures can be difficult on clinical evaluation alone. For example, abdominal pain after a colonoscopy may vary in etiology and can result from simple colonic spasm to colonic perforation, hemoperitoneum, or even splenic rupture. Vague abdominal pain following a renal biopsy may be due to minimal postprocedural bleeding into and around the kidney or may be due to potentially life-threatening hemorrhage. In such patients, computed tomography can play a crucial role in the rapid identification of complications as well guidance of subsequent patient management. The purpose of this article is to demonstrate the benefit of computed tomography-assisted diagnosis of complications associated with routine procedures performed on or throughout the abdomen and pelvis, including cardiac catheterization, colonoscopy, endoscopy, percutaneous biopsy, and interventional radiology procedures.
Wax
Bobbi N
BN
Department of Radiology, Winthrop-University Hospital, Mineola, NY 11501, USA.
Katz
Douglas S
DS
Badler
Ruth L
RL
Khalili
Michael
M
Math
Kevin R
KR
Mazzie
Joseph P
JP
Weston
Shiobhan R
SR
Javors
Bruce R
BR
D001706:Biopsy / Q000009:adverse effects; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects; D004724:Endoscopy / Q000009:adverse effects; D006801:Humans; D010388:Pelvis / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters / Q000009:adverse effects