Q:

A man with anterior resection and end to end anastomosis done complains of severe pain in the chest and abdominal distension. What is the most appropriate investigation likely to review the cause this deterioration?

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A man with anterior resection and end to end anastomosis done complains of severe pain in the chest and abdominal distension. What is the most appropriate investigation likely to review the cause this deterioration?


  1. XR abdomen
  2. Exploratory laparoscopy
  3. CT
  4. US
  5. Laparotomy

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The key is C. CT. [As many anastomotic leak is self-limiting so laparotomy is not done unless indicated otherwise. Definitive diagnosis is made by CT scan].

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