"Gut Point": POCUS Leading to the Detection of Postoperative Intestinal Fistula

Postoperative intestinal fistulae is one of the most feared complications. Despite its downsides, computerized tomography is the most widely used radiological exam to evaluate postoperative intestinal complications. Point of Care Ultrasound (POCUS) is a bedside tool that can sometimes expedite diagnosis and treatment, avoiding the potential downsides of a CT scan. We describe a case in which the use of POCUS yielded prompt identification of relevant signs in a patient suspected of having an intestinal fistula. We discuss the sonographic findings and the benefit of expediting definitive treatment, thus potentially lowering the morbidity of the patient.