EURORAD ESR

Case 16151

Perforation of transverse colon by a fish bone: a rare reaching

Author(s)
Anna Favia1*, Annalisa Ambrosi2*, Valentina Grimaldi2*, Vito Modesto3*, Paola D’Aprile2*

1*Aldo Moro University of Bari , Polyclinic of Bari, Radiology Department, Piazza Giulio Cesare 11, Bari, 70124 Italy;Email:annafavia@libero.it
2*Saint Paul Hospital, Department of Radiology, Bari, 70132 Italy;
3*Saint Paul Hospital, Department of Surgery, Bari, 70132 Italy.
 
Patient
female, 62 year(s)
 
 
  • Figure 1
    Axial Image

    The CT basal scan shows a 30 mm-radiopaque linear image in a hypodense formation in the center-abdominal region

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Abscess;
     
     
  • Figure 2
    Axial Image

    After contrast, the walls of the hypodense formation have uniform and linear enhancement, compatible with abscess.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Abscess;
     
     
  • Figure 3
    Coronal Image

    MIP reconstruction( in the arterious phase) shows the note formation close to the transverse colon

     
    Area of Interest: Abdomen; Imaging Technique: Image manipulation / Reconstruction; Procedure: Contrast agent-intravenous; Special Focus: Abscess;
     
     
  • Figure 4
    Axial Image

    In the axial image, presence of peri-visceral hyperdense striations near the transverse colon.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Abscess;
     
     
  • Figure 5
    Surgery Images
     

    The foreign body found by the surgeon in the abscessual cavity: a fish bone

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Abscess;

    In the picture, the probe shows the communication between transverse colon and abscessual cavity

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Abscess;
     
     
The CT basal scan shows a 30 mm-radiopaque linear image in a hypodense formation in the center-abdominal region
 
After contrast, the walls of the hypodense formation have uniform and linear enhancement, compatible with abscess.
 
MIP reconstruction( in the arterious phase) shows the note formation close to the transverse colon
 
In the axial image, presence of peri-visceral hyperdense striations near the transverse colon.
 
The foreign body found by the surgeon in the abscessual cavity: a fish bone
 
In the picture, the probe shows the communication between transverse colon and abscessual cavity
 
 
 
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