Question:

Which of the following findings is not a `normal` CT findings post Endoscopic Mucosal Resection
1. Intramural gas
2. Pneumoperitoneum
3. Bowel thickening
4. Bowel wall oedema
5. A gas filled faeces free colon





Answer:

The correct answer for the question "Which of the following findings is not a `normal` CT findings post Endoscopic Mucosal Resection" is:

2. Pneumoperitoneum



Explanation
The `normal` colonic findings in a patient who has recently had an endoscopic mucosal resection include an extensive segment of circumferential transmural thickening of the colon wall in the resection region, with associated oedema and intramural gas - pneumotosis intestinalis.



From the manuscript:
Imaging findings post colorectal endoscopic mucosal resection
Radiology Case. 2013 Sep; 7(9):27-32


This article belongs to the GI section.




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From the manuscript

Imaging findings post colorectal endoscopic mucosal resection

Free full text article: Imaging findings  post colorectal endoscopic mucosal resection

Abstract
Endoscopic mucosal resection is commonly the treatment regime of choice for large sessile colonic polyps. We describe the computed tomography findings of a 51 year old female who presented with transient severe abdominal pain without systemic upset post endoscopic mucosal polyp resection, which resolved with conservative management. This is the second case in the literature that demonstrates `normal` appearances post endoscopic mucosal resection. The clinical team and radiologist need to be aware of these findings when making management decisions in patients who present with acute pain post endoscopic mucosal resection.






References



1. Stryker SJ, Wolff BG, Culp CE, Libbe SD, Ilstrup DM, MacCarty RL. Natural history of untreated colonic polyps. Gastroenterology 1987; 93:1009-13
Get full text
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2. Morson BC. The evolution of colorectal carcinoma. Clin Radiol 1984; 35:425-31
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Choo WK, Subhani J. Complication rates of colonic polypectomy in relation to polyp characteristics and techniques: a district hospital experience J Interv Gastroenterol 2012; 2:1, 8-11.
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Williamson JML, Dunkley P, Hewin D. Subacute reaction to endoscopic mucosal resection mimicking perforation. Ann R Coll Surg Engl 2012; 94: e177-e178
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Monkemuller K, Neumann H, Malfertheiner P, Fry L. Advanced colon polypectomy. Clin Gastroenterol Hepatol 2009; 7:641-52
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Wexner SD, Garbus JE, Singh JJ. A prospective analysis of 13,580 colonoscopies: Reevaluation of credentialing guidelines. Surg Endosc 2001; 15:251-61
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Green J. Complications of Gastrointestinal Endoscopy. BSG Guidelines in Gastroenterology 2006 URL:http://www.bsg.org.uk/images/stories/docs/clinical/guidelines/endoscopy/complications.pdf (Last accessed 10th Jan 2013).
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Cipolletta L, Bianco MA, Rotondano G, Catalano M, Prisco A, De Simone T. Endoclip- assisted resection of large pedunculated colon polyps. Gastrointest Endosc 1999; 50:405- 6
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Classen M, Tytgat GNJ, Lightdale C. Gastroenterological Endoscopy. Thieme Publishing, Stuttgart 2010 ISBN 13: 9783131258526.
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1. Colorectal polyps

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