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REVIEW  INTEGRATED RX-ECO-TC IMAGING IN INTENSIVE CARE 

Il Giornale Italiano di Radiologia Medica 2018 Maggio-Giugno;5(3):460-72

DOI: 10.23736/S2283-8376.18.00089-X

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Postoperative abdominal imaging: imaging features

Maria A. MAZZEI 1 , Susanna GUERRINI 2, Francesco GENTILI 1, Giulio BAGNACCI 1, Francesco G. MAZZEI 1, Luca VOLTERRANI 1

1 Dipartimento di Imaging Diagnostica, Scienze Neurologiche, Mediche e Chirurgiche, Università di Siena, Azienda Ospedaliera Universitaria Senese, Siena, Italia; 2 Dipartimento di Imaging Diagnostica e Laboratorio di Medicina, Azienda USL Toscana SUD-EST, Ospedale Misericordia, Grosseto, Italia


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Abdominal complications are a common problem in clinical practice with mortality rates that may exceed 20%, depending on type of surgery, surgeon experience and severity of the disease. Nowadays the interpretation of images obtained from patients that underwent “open” or laparoscopic surgery is becoming crucial in radiologists’ daily routine. Pelvic and abdominal surgery are improving with the introduction of new minimal invasive techniques, avoiding classical open surgery. This condition increases the radiologists need of improving reporting and interpretation skills to recognize normal and pathological postsurgical signs. The variety of different imaging modalities, such as ultrasounds, X-ray, computed tomography (CT) and magnetic resonance (MR), offers the possibility to explore all the suspected postsurgical conditions, furthermore improving the visualization of anastomotic dehiscence by administering water-based contrast material. However, the diagnostic success is often related to the imaging technique and capacity of the radiologist to individuate the pathological signs, avoiding common pitfalls. The aim of this review is to make the radiologists aware about the common signs and pitfalls of the most common abdominal postoperative complications.


KEY WORDS: Tomography, X-ray computed - Postoperative complications - Laparoscopy - Anastomotic leak

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