fig1

Figure 1. Pelvic magnetic resonance imaging (MRI) scan in a 47-year old woman with pain and febrile diarrhea 2 weeks after total mesorectal excision (TME) with colo-anal anastomosis: (A) small arrows in a circle at the bottom of the image show fluid next to the colo-anal anastomosis evoking leak. Large arrow on the right of the image shows massive intra-peritoneal fluid. Note the concern for colonic wall thickening (horizontal arrow); (B) small arrows show what was considered as extravasation of contrast in the vicinity of the colo-anal anastomosis.