PMC9098343_01
Pre-operative coronal CT images demonstrating the faecaloma.
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fig1
A repeat CT scan was performed as demonstrated in Figure 1, which revealed an interval increase in the size of this complex collection now measuring 10.9 cm x 8.2 cm x 10.6 cm and found to be communicating with loops of small bowel with associated right-sided omental caking and mild ascites consistent with likely underlying neoplasm however differentials included a complex Meckel's diverticulum.
Pre-operative axial CT angiogram revealing relationship of the faecaloma to the ileocolic vessels.
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fig2
He underwent a CT angiogram of his abdomen and pelvis the following day as depicted on Figure 2 to better characterise this lesion and to assess its vascularity to aid in pre-operative planning.
Intra-op specimen revealing site of perforation on evacuating faecaloma contents.
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fig3
An intraopertaive photograph depicts the apperance of this large collection following evacuation of contents in Figure 3.