case_images: PMC11784201_01
case_images: Contrast-enhanced CT of patient 1. (A) Contrast-enhanced CT revealed small bowel wall thickening. (B) Repeat CT performed 8 hours later revealed free air in the abdominal cavity. (C) Operative findings revealed a 10 mm perforation in the small bowel approximately 150 cm from the ligament of Treitz.
case_images: tsaco-10-1-g001.jpg
case_images: PMC11784201_02_tsaco-10-1-g001.jpg
case_images: F1
case_images: Although no significant changes in vital signs or abdominal pain were observed, a repeat CT scan performed 8 hours later revealed free air in the abdominal cavity (figure 1B), prompting an exploratory laparotomy. Partial small bowel resection was performed after a 10 mm perforation in the small bowel, approximately 150 cm from the ligament of Treitz, was discovered during surgery (figure 1C).
case_images: PMC11784201_02
case_images: Contrast-enhanced CT of patient 1. (A) Contrast-enhanced CT revealed small bowel wall thickening. (B) Repeat CT performed 8 hours later revealed free air in the abdominal cavity. (C) Operative findings revealed a 10 mm perforation in the small bowel approximately 150 cm from the ligament of Treitz.
case_images: tsaco-10-1-g001.jpg
case_images: PMC11784201_02_tsaco-10-1-g001.jpg
case_images: F1
case_images: Although no significant changes in vital signs or abdominal pain were observed, a repeat CT scan performed 8 hours later revealed free air in the abdominal cavity (figure 1B), prompting an exploratory laparotomy. Partial small bowel resection was performed after a 10 mm perforation in the small bowel, approximately 150 cm from the ligament of Treitz, was discovered during surgery (figure 1C).
case_images: PMC11784201_03
case_images: Contrast-enhanced CT of patient 2. (A) Contrast-enhanced CT revealed bowel wall thickening in the small bowel intestine and mild mesenteric stranding. (B) Repeat CT performed 6 hours later revealed free air and free fluid in the abdominal cavity. (C) Operative findings revealed hemorrhagic ascites in the abdominal cavity and a 5 mm perforation in the small bowel approximately 90 cm from the ligament of Treitz.
case_images: tsaco-10-1-g002.jpg
case_images: PMC11784201_05_tsaco-10-1-g002.jpg
case_images: F2
case_images: A segmental resection of the small intestine was performed (figure 2C).
case_images: PMC11784201_04
case_images: Contrast-enhanced CT of patient 2. (A) Contrast-enhanced CT revealed bowel wall thickening in the small bowel intestine and mild mesenteric stranding. (B) Repeat CT performed 6 hours later revealed free air and free fluid in the abdominal cavity. (C) Operative findings revealed hemorrhagic ascites in the abdominal cavity and a 5 mm perforation in the small bowel approximately 90 cm from the ligament of Treitz.
case_images: tsaco-10-1-g002.jpg
case_images: PMC11784201_05_tsaco-10-1-g002.jpg
case_images: F2
case_images: A segmental resection of the small intestine was performed (figure 2C).
case_images: PMC11784201_05
case_images: Contrast-enhanced CT of patient 2. (A) Contrast-enhanced CT revealed bowel wall thickening in the small bowel intestine and mild mesenteric stranding. (B) Repeat CT performed 6 hours later revealed free air and free fluid in the abdominal cavity. (C) Operative findings revealed hemorrhagic ascites in the abdominal cavity and a 5 mm perforation in the small bowel approximately 90 cm from the ligament of Treitz.
case_images: tsaco-10-1-g002.jpg
case_images: PMC11784201_05_tsaco-10-1-g002.jpg
case_images: F2
case_images: A segmental resection of the small intestine was performed (figure 2C).