 |
|
Image of the Month—Diagnosis
Arch Surg. 2007;142(7):686.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Answer: Enterorectus Fistula
Computed tomography revealed thickened small bowel in the right lower quadrant posterior to the rectus abdominus muscle, which was diffusely enlarged within the rectus sheath, with a central area of gas and increased attenuation that communicated with the thick-walled, contrast-opacified small bowel consistent with an enterorectus fistula. As shown in Figure 1, the subcutaneous tissue was free of inflammation. The patient declined recommended treatment with bowel rest, intravenous antibiotics, and steroids, leaving the hospital against medical advice. Three months later, he was readmitted with fever, chills, and abdominal pain. Repeat computed tomography showed a persistence of a fistulous connection between the small bowel and the abdominal wall as well as a non–contrast-enhancing discrete fluid collection in the subcutaneous fat of the right anterior abdominal wall not communicating with the contrast-filled rectus cavity. On clinical examination, there was fluctuance and surrounding cellulitis. This time the patient consented to treatment that consisted . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED ARTICLE
Image of the Month—Quiz Case
Steven C. Cunningham and Lena M. Napolitano
Arch Surg. 2007;142(7):685.
EXTRACT
| FULL TEXT
|
