The Teaching Point

CT is the pivotal tool in deciding whether a patient needs urgent surgical intervention for complications post colonic polyp EMR. The radiologist must be aware of the `normal` colonic findings in a patient who has recently had an EMR, which include an extensive segment of circumferential transmural thickening of the colon wall in the resection region, with associated oedema and intramural gas - pneumatosis intestinalis.






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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.






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1. Colorectal polyps

2. colorectal cancer

3. endoscopic mucosal resection

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