A patient 62 year old under immunosuppressed medication with history of ethyl alcohol cirrhosis, three months s/p orthotopic liver transplant, presented with Nausea/Vomiting, intermittent colicky abdominal pain that began two days PTA. Patient admitted flatus and last BM three days PTA. On admission, vital signs were within normal limit and the exam was unremarkable. CXR, AXR, EKG and labs obtained were unremarkable. An NGT was placed yielding 200cc of fluid.
Patient became obstipated with abdominal distention during hospitalization, and CT of the abdomen and pelvis with oral contrast were ordered. Radiological findings suggest that: Right Pleural Effusion: Low density signal. Differential diagnosis is pleural thickening, however the density would be greater. (Image 1) Right Perirectal Abscess: Low density signal suggesting fluid (pus) with a small black bubble suggesting a gas…
