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Complications of Abdominal Surgery (Abdominal, Urologic and Gynecologic Emergencies)

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CT of the Acute Abdomen

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

CT has become the standard reference technique for the diagnosis of most common complications following abdominal, urologic, or gynecologic surgery. An adapted CT technique and knowledge of normal postoperative anatomy are essential for accurate interpretation of CT scans. The main complications following abdominal, urologic, or gynecologic surgery include peritonitis, abscesses, hemorrhage, small-bowel obstruction, abdominal wall wound or hematoma, and anastomotic leaks.

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References

  • Akinci D, Akhan O, Ozmen MN et al (2005) Percutaneous drainage of 300 intraperitoneal abscesses with long-term follow-up. Cardiovasc Intervent Radiol 28:744–750

    Article  PubMed  Google Scholar 

  • Baig MK, Wexner SD (2004) Postoperative ileus: a review. Dis Colon Rectum 47:516–526

    Article  PubMed  Google Scholar 

  • Bartels H (2009) Special aspects of postoperative complications following visceral surgery. Chirurgie 80:780–789

    Article  CAS  Google Scholar 

  • Bennett AA, Gilkeson RC, Haaga JR et al (2000) Complications of “dropped” gallstones after laparoscopic cholecystectomy: technical considerations and imaging finding. Abdom Imaging 25:190–193

    Article  PubMed  CAS  Google Scholar 

  • Benoist S, Panis Y, Pannegeon V et al (2002) Can failure of percutaneous drainage of postoperative abdominal abscesses be predicted? Am J Surg 184:148–153

    Article  PubMed  Google Scholar 

  • Blachar A, Federle MP, Brancatelli G, Peterson MS, Oliver JH III, Li W (2001) Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia. Radiology 221:422–428

    Article  PubMed  CAS  Google Scholar 

  • Blum A, Bui P, Boccaccini H et al (1995) Imaging of severe forms of hematoma in the rectus abdominis under anticoagulants. J Radiol 76:267–273

    PubMed  CAS  Google Scholar 

  • Catalá V, Solà M, Samaniego J et al (2009) CT findings in urinary diversion after radical cystectomy: postsurgical anatomy and complications. Radiographics 29:461–476

    Article  PubMed  Google Scholar 

  • Fulcher AS, Turner MA (1996) Percutaneous drainage of enteric-related abscesses. Gastroenterologist 4:276–285

    PubMed  CAS  Google Scholar 

  • Gayer G, Hertz M, Zissin R (2004) Postoperative pneumoperitoneum: prevalence, duration and possible significance. Semin Ultrasound CT MR 25:286–289

    Article  PubMed  CAS  Google Scholar 

  • Gore RM, Berlin JW, Yagmai V, Mehta U, Newmark GM, Ghahremani GG (2004) CT diagnosis of post operative abdominal complications. Semin Ultrasound CT MR 25:207–221

    Article  PubMed  Google Scholar 

  • Harrisinghani MG, Gervais DA, Hahn PF et al (2002) CT guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics 22:1353–1367

    Article  Google Scholar 

  • Hodel J, Zins M, Desmottes L et al (2009) Location of the transition zone in CT of small-bowel obstruction: added value of multiplanar reformations. Abdom Imaging 34:35–41

    Article  PubMed  Google Scholar 

  • Hoeffel C, Azizi L, Lewin M et al (2006) Normal and pathologic features of the postoperative biliary tract at 3D MR cholangiopancreatography and MR imaging. Radiographics 26:1603–1620

    Article  PubMed  Google Scholar 

  • Israel GM, Hecht E, Bosniak MA (2006) CT and MR imaging of complications of partial nephrectomy. Radiographics 26:1419–1429

    Article  PubMed  Google Scholar 

  • Khoury W, Ben-Yehuda A, Ben-Haim M, Klausner JM, Szold O (2009) Abdominal computed tomography for diagnosing postoperative lower gastrointestinal tract leaks. J Gastrointest Surg 13:1454–1458

    Article  PubMed  Google Scholar 

  • Lepanto L, Gianfelice D, Dery R et al (1994) Post operative changes, complications and recurrent disease after Wipple’s operation CT features. AJR Am J Roentgenol 163:841–846

    PubMed  CAS  Google Scholar 

  • Morrin MM, Kruskal JB, Hochman MG et al (2000) Radiologic features of complications arising from dropped gallstones in laparoscopic cholecystectomy patients. AJR 174:1441–1445

    PubMed  CAS  Google Scholar 

  • Negus S, Sidhu PS (2000) MRI of retroperitoneal collections: a comparison with CT. Br J Radiol 73:907–912

    PubMed  CAS  Google Scholar 

  • Nichols RL (1991) Surgical wound infection. Am J Med 91:54S–64S

    Article  PubMed  CAS  Google Scholar 

  • Paspulati RM, Dalal TA (2010) Imaging of complications following gynecologic surgery. Radiographics 30:625–642

    Article  PubMed  Google Scholar 

  • Power N, Atri M, Ryan S, Haddad R, Smith A (2007) CT assessment of anastomotic bowel leak. Clin Radiol 62:37–42

    Article  PubMed  CAS  Google Scholar 

  • Sandrasegaran K, Maglinte DD, Lappas JC, Howard TJ (2005) Small-bowel complications of major gastrointestinal tract surgery. AJR Am J Roentgenol 185:671–681

    PubMed  Google Scholar 

  • Taourel PG, Fabre JM, Pradel JA et al (1995) Value of CT in the diagnosis and management of patients with suspected acute SBO. AJR Am J Roentgenol 165:1187–1192

    PubMed  CAS  Google Scholar 

  • Van Sonnenberg E, Wittich GR, Goodacee BW et al (2001) Percutaneous abscess drainage: update. World J Surg 25:362–369

    Article  Google Scholar 

  • Yablon CM, Banner MP, Ramchandani P, Rovner ES (2004) Complications of prostate cancer treatment: spectrum of imaging findings. Radiographics 24:S181–S194

    Article  PubMed  Google Scholar 

  • Zalcman M, Sy M, Donckier V, Closset J, Gansbeke DV (2000) Helical CT signs in the diagnosis of intestinal ischemia in small-bowel obstruction. AJR Am J Roentgenol 175:1601–1607

    PubMed  CAS  Google Scholar 

  • Zappa M, Sibert A, Vullierme MP, Bertin C, Bruno O, Vilgrain V (2009) Postoperative imaging of the peritoneum and abdominal wall. J Radiol 90:969–979

    Article  PubMed  CAS  Google Scholar 

  • Zins M, Ferretti G (2009) Postoperative imaging of the abdomen and chest: humility and multidisciplinary approach. J Radiol 90:887

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Marc Zins .

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© 2011 Springer-Verlag Berlin Heidelberg

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Zins, M., Boulay-Coletta, I. (2011). Complications of Abdominal Surgery (Abdominal, Urologic and Gynecologic Emergencies). In: Taourel, P. (eds) CT of the Acute Abdomen. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_203

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  • DOI: https://doi.org/10.1007/174_2011_203

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-89231-1

  • Online ISBN: 978-3-540-89232-8

  • eBook Packages: MedicineMedicine (R0)

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