Pelvic MRI in the diagnosis of necrosis of a pulled-through colon segment after abdomino-anal resection of the rectum for cancer

This paper presents a case of necrosis the pulled-through colon after abdomino-anal resection rectum, which was diagnosed by using magnetic resonance imaging (MRI). A 47-year-old man underwent laparoscopically assisted rectum with reconstruction coloplasty pouch and transverse colostomy in course combination treatment for locally advanced rectal cancer. The postoperative period complicated development an inflammatory response syndrome. On day 3 (POD), contrast-enhanced MRI revealed swelling 15 cm segment up to coloanal anastomosis sharply attenuated contrast enhancement, rectoscopy showed no changes. POD 6, scan defect anterior wall parietal aerocele, signs bowel wall. 10, Due increasing inflammation, relaparotomy disconnection necrotized performed.
 Ischemia surgery is rare but very serious complication. Our clinical report demonstrates potential as non-invasive method follow-up patients early diagnosis ischemia defects, helps make right patient management plan.