2026 Case of the Month Series
January 2026
Answers as below.
Q1: What are the main findings on this CT abdomen scan? See video on the right.
Q2: Complete diagnosis? Malignant gastro-colic fistula.
Q3: Next step in management?
Urgent surgical referral and colonscopy to confirm.
Feb 2026
Answers as below.
Q1: Diagnosis is sigmoid diverticulitis complicated by IMV thrombophlebitis. The answer video also shows the follow up CDT.
Q2: Complications are hepatic abscess, bowel ischaemia, visceral infarction.
Q3: Management: Urgent surgical referral.
March 2026
Answers as below.
Q1: The study is a CT pulmonary angiogram.
Q2: Main find is abnormal aortic contour anterior to segment of vertebral body destruction, concerning for mycotic pseudoaneurysm.
Q3: Next step in management?
Urgent CT aortogram and inform vascular IR.
April 2026
Answers as below.
Q1: Main findings - Cervical soft tissue emphysema, pneumomediastinum and hyperexpanded lung fields
Q2: Differentials - after trauma, oesophageal/tracheo- bronchial rupture, violent cough with background small airways disease / ILD, infections, barotrauma, rarely spontaneous
Q3: CT thorax (oral and IV contrast) to rule out oesophageal leak.
