case_images: PMC6942708_01
case_images: Significant findings from initial colonoscopy which the diagnosis of Crohn's disease was made. (a) Inflammation seen in cecum. (b) Inflammation in ascending colon. (c) Inflammation with friability and hemorrhage at the hepatic flexure.
case_images: CRIGM2019-6053503.001.jpg
case_images: PMC6942708_01_CRIGM2019-6053503.001.jpg
case_images: fig1
case_images: He had a colonoscopy which showed segmental areas of inflammation and deep ulcerations at the hepatic flexure and in the ascending colon with edema, granularity, and loss of vascularity (Figure 1).
case_images: CT scan images of significant findings on hospitalization including (a) Free air in the pelvis. (b) Free air with leaked contrast in the peritoneal space. (c) An enterocolic fistula. These findings determined the decision for exploratory laparotomy.
case_images: CRIGM2019-6053503.002.jpg
case_images: PMC6942708_01_CRIGM2019-6053503.002.jpg
case_images: fig2
case_images: A repeat CT was performed where it was seen that the patient developed intraperitoneal free air and fistulas requiring exploratory laparotomy (Figure 2).