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Insights into Imaging
Fig. 16 | Insights into Imaging

Fig. 16

From: Endoscopic stenting of malignant, benign and iatrogenic colorectal disorders: a primer for radiologists

Fig. 16

Haemorrhage and impending stent-related perforation. Initial radiograph (a) showing marked colonic dilatation (*). After early clinical improvement, the patient experienced haematochezia. MIP CT image (b) confirmed correctly placed and expanded SEMS (thick arrows) at the descending colon. CT images showed some hyperattenuating fresh blood (thin arrow in c) in the bowel lumen and a gas bubble (arrows in d and e) piercing through the colonic wall at the distal end of the SEMS. Emergency laparotomic surgery (left hemicolectomy with primary anastomosis) was required

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