Optimal diagnosis of anastomotic colorectal leak by combination of conventional colonic enema and CT.
Post-operative complications of colorectal surgery occur not uncommonly. They have to be detected as early as possible, in order to reduce their morbidity and mortality rates. The most frequent early complications are abscesses, mechanical obstruction, and anastomotic leak. Imaging studies are required in order to assess such complications. We present a case for which radiological procedures were contributive for an optimal diagnosis of anastomotic leak following colo-rectal anastomosis. We emphasize the role of conventional radiology (contrast enema) combined with CT in the post-operative detection of an anastomotic intestinal leak.
Danse
E
E
Department of Radiology, St-Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium. danse@rdgn.ucl.ac.be
Goncette
L
L
Kartheuser
A
A
D000328:Adult; D000714:Anastomosis, Surgical; D003125:Colostomy; D003287:Contrast Media; D003937:Diagnosis, Differential; D003974:Diatrizoate Meglumine; D004733:Enema; D006801:Humans; D008297:Male; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012086:Reoperation; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D003974:Diatrizoate Meglumine