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Anastomotic leak — MCCQE Part 1 MCQ

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ModeratePost-operative ComplicationsAnastomotic leakMCCQE Part 1

A 55-year-old man POD5 after right hemicolectomy develops fever 38.8C, tachycardia, and RLQ tenderness with localised peritonitis. WBC 18. Most likely complication?

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Correct answer: A — Anastomotic leak

Fever + peritonitis POD5-7 after bowel surgery = anastomotic leak until proven otherwise. CT with oral/IV contrast for diagnosis. May require return to OR.

Reference: Canadian Colorectal Surgery Guidelines