A 40-year-old lady had a CT and an MRI scan of her brain for investigation of severe headache following recent recurrent bowel surgery. The post-operative course was complicated by abdominal wall haematoma, and she required multiple blood transfusions. The background history of multiple previous bowel resections and chronic anti-inflammatory therapy for inflammatory bowel disease was noted.
Describe the relevant imaging findings and formulate the most appropriate clinical diagnosis.
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The winning respondent will receive R2000 as a reward from the RSSA.
A detailed diagnosis and discussion will be presented in the next issue of the SAJR.
Coronal reformat images (a, b and c) of the abdomen in venous phase after intravenous contrast administration.
Sagittal (a) and (b) axial images of the abdomen in venous phase after intravenous contrast administration.
Axial non-contrasted (a) CT image, (b) T2 and (c) axial T1-weighted MRI images.
Coronal flair MRI image.
Axial diffusion-weighted b1000 MR images (a, b, c and d).
Corresponding axial ADC-mapped MR images (a, b, c and d).
Axial SWI MR images (a and b).
Corresponding axial PHASE MR images (a and b).