PMC5645488_01
PFA shows dilated bowel loops in abdomen. Bilateral hip prosthesis can also be seen.
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Patient was fine and clear urine was draining from SPC as per the available notes from the other hospital (Fig. 3).
CT scan (sagittal view) showing dilated bowel loops up to lower abdomen, suprapubic catheter can be see passing through mesentery along with a twist in bowel.
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There was a moderate size, reducible indirect left inguinal hernia and had a functioning suprapubic urinary catheter in situ (Fig. 4).
CT scan (coronal view) showing suprapubic catheter with dilated loops, artefact because of prosthesis can also be seen.
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An artefact due to bilateral hip replacement resulted in poor quality CT scan, but upon consultation of an experienced radiologist bowel obstruction secondary to SPC was confirmed (Fig. 5).
Intra-op findings showing suprapubic catheter passing through mesentery before entering bladder, dilated bowel loops are also visible.
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He was really satisfied when seen in the clinic 6 weeks, as he had a quick and uneventful recovery (Fig. 6).