الفهرس | Only 14 pages are availabe for public view |
Abstract Radiologists have to be familiar with newer surgical techniques and expected post-operative alterations, to give a correct evaluation of a post-surgery imaging examination, to recognize any consequence as well as to differentiate a normal finding from a potential complication. The post-operative abdomen is always challenging to assess due to the overlap between the expected appearances and pathological processes especially in the early period. Suspected post-operative complications are a common indication for CT imaging. The non-pathological postoperative changes in the mesentery, omentum and bowel may lead to diagnostic pitfalls and hence clinical correlation is of utmost importance. CT is a powerful tool for identifying the early and late post-operative complications. The postoperative complications range from early to late temporally and from trivial to life-threatening in severity. They include bleeding, collections, obstruction, organ injury and retained foreign bodies. This study aimed to assess the role of computed tomography in the evaluation of post pelvi-abdominal surgical complications. Post-operative complications were divided into: procedure related and disease related complications. CT features of fifty patients with suspected post-surgical pelvi-abdominal complications were studied and the following findings were interpreted: 1. The age of the patients in our study ranged from 28 to 65 years most of the patients were from 50-60 ys. 2. Female predominance was noted in our study, which constituted 80%. 3. Generalized abdominal pain is the commonest clinical feature in our study, which constituted 40 patients (80%). 4. Our study found that 29 patients (58%) have co-morbid diseases diabetes mellitus and hypertension. 5. Our study showed that the most common pre-surgical diagnosis was malignancy and recurrence in 38 patients (76%). 6. Laparotomies were more frequent than laparoscopies. 7. Considering the post-operative surgical findings; our study showed that recurrent malignancy was the most frequent findings. 8. Our study reported that 30 patients were managed conservatively (60%). |