case_images: PMC11002374_01
case_images: CT scan with (A) intravenous contrast and (B) rectal contrast with extravasation into a 10 cm abscess and (C) demonstrating the prominent draining adrenal vein.
case_images: tsaco-2024-001380f01.jpg
case_images: PMC11002374_01_tsaco-2024-001380f01.jpg
case_images: F1
case_images: Interval CT with rectal contrast on day 5 showed contrast extravasation from a sigmoid diverticulum into a 10 cm abscess (figure 1).
case_images: PMC11002374_02
case_images: Remaining small bowel that was densely adhered to the abscess cavity.
case_images: tsaco-2024-001380f02.jpg
case_images: PMC11002374_02_tsaco-2024-001380f02.jpg
case_images: F2
case_images: Intraoperative findings included a large pelvic interloop abscess, 30 cm of sigmoid colon requiring resection, and two loops of small bowel densely adhered to the abscess cavity requiring resection due to transmural ischemia (remaining bowel shown in figure 2).
case_images: PMC11002374_03
case_images: Left adrenal mass (A) on initial unenhanced CT, (B) on T2-weighted MRI, (C) in vivo, and (D) after resection.
case_images: tsaco-2024-001380f03.jpg
case_images: PMC11002374_03_tsaco-2024-001380f03.jpg
case_images: F3
case_images: As indicated by preoperative imaging, there was no invasion of other structures and the mass was not hypervascular except for a large draining vein (figure 3).
case_images: PMC11002374_04
case_images: PMC11002374_05
case_images: PMC11002374_06
case_images: PMC11002374_07
case_images: PMC11002374_08