WFX 5165 - XR BARIUM ENEMA GASTROGRAPHIN / ACCESSION # 88953989
PROCEDURE REASON: ABDOMINAL PAIN, OTHER SPECIFIED SITE
* * * * Physician Interpretation * * * *
RESULT:
The scout film demonstrates unremarkable bowel gas pattern
Following the insertion of the catheter Gastrografin was introduced under
fluoroscopic guidance and multiple fluoroscopic spot films were obtained.
Comparison is made to previous examination from 6/8/11
The patient is status post colectomy with an ileal pouch. There is free
flow of Gastrografin with significant narrowing at the pouch anal
anastomosis and most distal pouch with dilatation of the pouch proximal
to it. There is extravasation of contrast at the level of the
anastomosis anteriorly and posteriorly with accumulation of contrast seen
posteriorly in the presacral space. There is also irregularity of the
pouch and anastomosis.
IMPRESSION:
Fistula tracts and extravasation of contrast at the pouch anal
anastomosis with accumulation of contrast in the presacral space
Dilatation of the pouch with narrowing of the most distal pouch and
anastomosis as well as irregularity which could be due to inflammation or
infection.
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