Saturday, March 26, 2011

Interesting Imaging

A young girl presented with increasing abdominal distension with pain, septic-looking and she's lethargic to give further history. US abdomen showed some "suspicious shadows" and she's proceeded with urgent CT abdomen.

What do you think is the diagnosis?

(Click image to enlarge)

9 comments:

Anonymous said...

colon abscess secondary to inflammatory bowel disease

Zzzyun said...

septic peritonitis secondary to intestinal obstruction which was complicated by perforation

Anonymous said...

late manifestation of hirschprung's?

Darren Lee said...

Hint: Look at what's around the kidney..

Chong_86 said...

Ruptured retroperitoneal abscess?

Anonymous said...

ruptured perinephric abcess!

Darren Lee said...

Answer:
There is perirenal collection predominantly on the right side, extending to the left and inferiorly into the pelvis, and displacing bowel loops centrally. There are multiple air pockets within the collection.

These are suggestive of extensive retroperitoneal abscess.

Anonymous said...

wow how long does a person need to wait for an abscess to be this bad?

Darren Lee said...

Further history revealed that she had a recent motor-vehicle trauma 1 week ago and did not seek treatment. The abscess is likely as a result of that.

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