File:Colonic pseudo-obstruction (Radiopaedia 79752-92980 C 38).png

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Summary:

Description
  • Radiopaedia case ID: 79752
  • Image ID: 53067446
  • Image stack position: 38/80
  • Plane projection: Sagittal
  • Aux modality: C+ arterial phase
  • Study findings: Mild asymmetrical thickening of the right rectus abdominis muscle which measures up to 13 mm in depth, when compared to the contralateral side. There is overlying inflammatory stranding with locules of free gas. Within the intra abdominal cavity, deep to the rectus abdominis muscle, there is small volume free fluid and locules of free gas. These findings are presumably within the normal postoperative limits. There is no evidence of active arterial extravasation or delayed enhancement, particularly within the region of the right rectus abdominis muscle. Bulky postpartum appearance of the uterus. No significant free fluid within the pouch of Douglas. Non distended urinary with bladder catheter in situ. Small volume fecal material within the distal sigmoid colon. Mildly prominent gas and fecal filled cecum and ascending colon. Mixed gas and fluid filled small bowel is normal in caliber. Impression:No evidence of active hemorrhage within the right rectus abdominis muscle.
  • Modality: CT
  • System: Gastrointestinal
  • Findings: The cecum is gaseously distended up to 9 cm as is the ascending and proximal transverse colon with a relative transition point at the splenic flexure. Findings are suggestive of colonic pseudo-obstruction. A small amount of rectal gas is noted. A large dense rounded opacity is noted in the pelvis, which may represent the bladder or postpartum uterus. No evidence of pneumoperitoneum allowing for supine projection. Tubal ligation clips noted. No destructive osseous lesions.
Date Published: 4th Jul 2020
Source https://radiopaedia.org/cases/colonic-pseudo-obstruction-4
Author Vu Tran
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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