PMC3542941_01
Plain lateral radiograph shows the right femur. Subcutaneous emphysema is observed as gas in the fascial planes between muscles and subcutaneous tissues.
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fig1
Radiologic examination of the right femur demonstrated the presence of gas between the muscles and subcutaneous tissue (Figure 1).
The surgical wound at the hip region. Pus, fecal material, and air bubbles can be observed coming out of the great sciatic foramen after the patient was asked to cough.
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fig2
Purulent fluid resembling diarrhea along side with gas bubbles was observed while the surrounding tissues were necrotic (Figure 2).
Plain anteroposterior radiograph showing the pelvis 5 minutes after per rectum administration of gastrografin. A rectal perforation allows gastrografin to escape into the pelvic cavity.
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fig3
Radiologic examination of the pelvis by means of a gastrografin enema revealed the presence of a recto-femoral fistula treated surgically with an emergency sigmoidostomy (Figures 3 and 4).
Plain anteroposterior radiograph showing the pelvis 7 minutes after per rectum administration of gastrografin. Gastrografin is escaping from the pelvic cavity through a fistula to the thigh.
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fig4
Radiologic examination of the pelvis by means of a gastrografin enema revealed the presence of a recto-femoral fistula treated surgically with an emergency sigmoidostomy (Figures 3 and 4).