case_images: PMC4275802_01
case_images: Coronal slice - demonstrating small bowel dilatation.
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case_images: PMC4275802_01_gr1.jpg
case_images: fig0005
case_images: Due to failure to settle a computed tomography (CT) was performed that demonstrated multiple transition points, a mass of small bowel loops within the pelvis consistent with adhesional obstruction and no sign of recurrence of colorectal cancer (Fig. 1).
case_images: Line graph demonstrating C-reactive protein course.
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case_images: PMC4275802_01_gr2.jpg
case_images: fig0010
case_images: C-reactive protein (CRP) rose to more than 200 (Fig. 2). Clinical assessment at this stage led to CT scanning of the abdomen and pelvis that revealed a pelvic collection suggestive of anastomotic leak (Fig. 3).
case_images: Sagittal slice - demonstrating pelvic collection.
case_images: gr3.jpg
case_images: PMC4275802_01_gr3.jpg
case_images: fig0015
case_images: C-reactive protein (CRP) rose to more than 200 (Fig. 2). Clinical assessment at this stage led to CT scanning of the abdomen and pelvis that revealed a pelvic collection suggestive of anastomotic leak (Fig. 3).
case_images: (1) Line graph demonstrating plasma sodium course. (2) Line graph demonstrating plasma potassium course.
case_images: gr4.jpg
case_images: PMC4275802_01_gr4.jpg
case_images: fig0020
case_images: Bloods performed that day demonstrated acute hyponatraemia with a plasma sodium of 118 mmol/L (Fig. 4(1)), hypocalcaemia (corrected Ca2+ 1.80) and hypermagnesaemia (Mg2+ 1.43). This treatment resulted in a rapid improvement in his electrolyte imbalance (Fig. 4).
case_images: Post haemorrhage coronal image.
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case_images: PMC4275802_01_gr5.jpg
case_images: fig0025
case_images: CT scanning was performed that demonstrated grossly abnormal adrenal glands bilaterally with rounded masses thought to be haematomas (Fig. 5).