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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. 

January 2026

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. 

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