Imaging of Abdominal Postoperative Complications
Ryan B O'Malley1, Jonathan W Revels2
1Department of Radiology, Abdominal Imaging, University of Washington, 1959 Northeast Pacific Street, Box 357115, Seattle, WA 98195, USA.
Radiologic Clinics of North America
|November 17, 2019
Summary
This review covers abdominal postoperative complications across organ systems, detailing imaging and management. It aids clinicians in identifying and treating surgical issues effectively.
Area of Science:
- Abdominal Surgery
- Radiology
- Postoperative Complications
Background:
- Postoperative complications are a significant concern following abdominal surgery.
- Early and accurate diagnosis is crucial for effective management.
- A systematic approach to identifying complications aids clinical decision-making.
Purpose of the Study:
- To provide a case-based review of common and uncommon abdominal postoperative complications.
- To organize complications by affected organ system for clarity.
- To highlight the role of various imaging modalities and radiologist intervention in diagnosis and management.
Main Methods:
- Case-based review methodology.
- Organization of complications by organ system (wound, hepatobiliary, pancreatic, gastrointestinal, genitourinary, vascular).
- Inclusion of representative cases with diverse imaging findings (CT, fluoroscopy, ultrasound, MRI, nuclear medicine).
Main Results:
- Detailed description of general and operation-specific abdominal postoperative complications.
- Illustrations of potential diagnostic pitfalls mimicking complications.
- Emphasis on the utility of multiple imaging modalities for complication detection.
Conclusions:
- A comprehensive understanding of abdominal postoperative complications is essential for surgeons and radiologists.
- Radiological imaging plays a pivotal role in the timely diagnosis and management of these complications.
- This review serves as a valuable resource for recognizing and managing surgical sequelae.
Related Concept Videos
01:24Imaging Studies II: Ultrasonography
284
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
284
01:27Imaging Studies III: Computed Tomography
239
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
239
01:29Appendicitis-II: Diagnostic Studies and Management
425
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
425
01:27Imaging Studies IV: Magnetic Resonance Imaging
204
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
204
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
978
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
978
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
327
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
327