Orlando Catalano MD, Abstract Co-Author: Nothing to Disclose

Antonio Nunziata MD, Presenter: Nothing to Disclose

G Carone MD, Abstract Co-Author: Nothing to Disclose

Paolo Delrio MD, Abstract Co-Author: Nothing to Disclose

Antonella Petrillo MD, Abstract Co-Author: Nothing to Disclose

PSAB is a relevant, potentially life-threatening occurrence. In the post-operative setting, haemorrhage may have a variety of clinical and imaging presentations. Rapid assessment and decision making is mandatory for proper patient management and avoidance of further complications. Knowledge of normal and near-normal findings after recent surgery is mandatory to achieve a prompt and effective diagnosis. Understanding the main features indicating abnormal, eventually ongoing bleeding, is particularly relevant. The purpose of this exhibit is 1) To discuss the topic of abdominal haemorrhage developing after surgery, from a clinical and MDCT imaging point of view 2) To summarize the clues to MDCT diagnosis and potential pitfalls. 3) To highlight the optimal diagnostic work-up in cases suspected for PSAB, with special reference to the role of MDCT in selecting the most appropriate patient treatment.

The clinical and surgical aspects are first discussed, with special reference to risk factors, and main presentation scenarios. Various cases of intra-organ, intraperitoneal, and retroperitoneal PSAB are then illustrated, as shown by MDCT angiography. A correlation with presurgical findings is given, as well as, that with post-treatment findings. Interpretative pitfalls, leading to false positive or false negative diagnoses are considered.

http://abstract1.rsna.org/uploads/2014/14008607/14008607_4cvp.pdf

Catalano, O, Nunziata, A, Carone, G, Delrio, P, Petrillo, A, MDCT Imaging of Post-Surgical Abdominal Bleeding (PSAB).  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008607.html