EURORAD ESR

Case 16268

An exceptional cause of blood loss following colonic resection

Author(s)
Di Pietro Salvatore, MD (1, 2); Tonolini Massimo, MD (1)

(1) Department of Radiology, “Luigi Sacco" University Hospital, Milan (Italy) - Email: mtonolini@sirm.org
(2) Post-graduation School in Radiodiagnostics, University of Milan – Milan (Italy) – Email: dedalo2874@gmail.com
 
Patient
male, 65 year(s)
 
 
  • Figure 1
    Ileo-colonoscopy
     

    Endoscopy showed patent ileocolonic anastomosis with irregular contour, multiple wide ulcerations with mucosal erythema and oedema.

     
    Area of Interest: Colon; Imaging Technique: Image manipulation / Reconstruction; Procedure: Endoscopy; Special Focus: Inflammation;

    Endoscopy showed patent ileocolonic anastomosis with irregular contour, multiple wide ulcerations with mucosal erythema and oedema.

     
    Area of Interest: Colon; Imaging Technique: Image manipulation / Reconstruction; Procedure: Endoscopy; Special Focus: Inflammation;
     
     
  • Figure 2
    MR-enterography with ingestion of polyethylenglycole
     

    Coronal T2-weighted images showed patent ileocolonic anastomosis (arrowhead) without upstream ileal dilatation and filling of the remnant transverse colon (*). No visible perianastomotic extramural inflammation, solid...

     
    Area of Interest: Colon; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T2-weighted (b) images showed mild thickening (5-6 mm) of the ileocolonic anastomosis (arrowheads) with signs of mural oedema using fat suppression (c). No visible perianastomotic extramural inflammation, solid...

     
    Area of Interest: Colon; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T2-weighted (b) images showed mild thickening (5-6 mm) of the ileocolonic anastomosis (arrowheads) with signs of mural oedema using fat suppression (c). No visible perianastomotic extramural inflammation, solid...

     
    Area of Interest: Colon; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    High b value diffusion-weighted images showed visual hyperintensity consistent with inflammation at the ileocolonic anastomosis wall (arrowhead).

     
    Area of Interest: Colon; Imaging Technique: Image manipulation / Reconstruction; Procedure: Endoscopy; Special Focus: Inflammation;

    After intravenous gadolinium contrast, fat-suppressed T1-weighted images (e, f) showed moderate, non-stratified enhancement at the ileocolonic anastomosis (arrowheads). No visible perianastomotic extramural...

     
    Area of Interest: Colon; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    After intravenous gadolinium contrast, fat-suppressed T1-weighted images (e, f) showed moderate, non-stratified enhancement at the ileocolonic anastomosis (arrowheads). No visible perianastomotic extramural...

     
    Area of Interest: Colon; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Endoscopy showed patent ileocolonic anastomosis with irregular contour, multiple wide ulcerations with mucosal erythema and oedema.
 
Endoscopy showed patent ileocolonic anastomosis with irregular contour, multiple wide ulcerations with mucosal erythema and oedema.
 
Coronal T2-weighted images showed patent ileocolonic anastomosis (arrowhead) without upstream ileal dilatation and filling of the remnant transverse colon (*). No visible perianastomotic extramural inflammation, solid masses or fluid collections.
 
Axial T2-weighted (b) images showed mild thickening (5-6 mm) of the ileocolonic anastomosis (arrowheads) with signs of mural oedema using fat suppression (c). No visible perianastomotic extramural inflammation, solid masses or fluid collections.
 
Axial T2-weighted (b) images showed mild thickening (5-6 mm) of the ileocolonic anastomosis (arrowheads) with signs of mural oedema using fat suppression (c). No visible perianastomotic extramural inflammation, solid masses or fluid collections.
 
High b value diffusion-weighted images showed visual hyperintensity consistent with inflammation at the ileocolonic anastomosis wall (arrowhead).
 
After intravenous gadolinium contrast, fat-suppressed T1-weighted images (e, f) showed moderate, non-stratified enhancement at the ileocolonic anastomosis (arrowheads). No visible perianastomotic extramural inflammation, solid masses or fluid collections.
 
After intravenous gadolinium contrast, fat-suppressed T1-weighted images (e, f) showed moderate, non-stratified enhancement at the ileocolonic anastomosis (arrowheads). No visible perianastomotic extramural inflammation, solid masses or fluid collections.
 
 
 
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