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Chronic colonic perforation in pseudomyxoma peritonei

Department of Radiology, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK

View larger version (139K): [in this window] [in a new window]   Figure 1. Abdominal radiograph showing displaced small bowel loops supero-laterally with paucity of bowel gas in central abdomen.

View larger version (131K): [in this window] [in a new window]   Figure 2. CT abdomen with intravenous contrast and oral contrast showing non-enhancing fluid filled cysts scalloping liver and spleen.

View larger version (118K): [in this window] [in a new window]   Figure 3. CT abdomen showing a large cavity with air-fluid level compressing the large and small bowel.

View larger version (142K): [in this window] [in a new window]   Figure 4. Water-soluble contrast enema (early film) showing irregularity of lateral aspect of recto-sigmoid with contrast filled tract. The contrast has also filled the rest of the colon.

View larger version (122K): [in this window] [in a new window]   Figure 5. Water-soluble contrast enema (later film) with patient in standing position showing the contrast filling the large air-filled intraperitoneal cavity, which is extending from both peritoneal recesses.

View larger version (150K): [in this window] [in a new window]   Figure 6. Early magnified image of contrast enema study with the patient in prone position showing contrast filled tract at recto-sigmoid junction.