General Surgery, Trauma & Burns · NEET PG Preparation Surgery
A 60-year-old male undergoes an elective low anterior resection for rectal adenocarcinoma. On postoperative day 5, he develops severe lower abdominal…
Practice question from General Surgery, Trauma & Burns (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
hard · MCQ · Q-A70F02
A 60-year-old male undergoes an elective low anterior resection for rectal adenocarcinoma. On postoperative day 5, he develops severe lower abdominal pain, fever, tachycardia, and feculent discharge from the pelvic drain. Which of the following is the most sensitive and specific imaging modality to confirm anastomotic leakage?
- A.Plain abdominal radiograph
- B.Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis with rectal and intravenous contrastCorrect answer
- C.Ultrasonography of the abdomen
- D.Barium enema
Solution
CECT scan of the abdomen and pelvis with both intravenous and rectal (water-soluble) contrast is the gold standard imaging modality for evaluating suspected anastomotic leakage following colorectal surgery. It can identify extraluminal gas, fluid collections, and extravasation of contrast.
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