case_images: PMC7585363_01
case_images: A) Chest X-ray showed bronchopneumonia, B) Chest MSCT showed emphysematous lungs, C) Abdominal X-ray showed pneumoperitoneum, and D) Intraoperative finding of gastric perforation.
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case_images: fig0005
case_images: Chest X-Rays showed bronchopneumonia (Fig. 1a) and chest computed tomography (CT)-scan showed emphysematous lungs (Fig. 1b). Abdominal X-Ray showed pneumoperitoneum (Fig. 1c) and abdominal ultrasonography showed subhepatic and Morison pouch free of fluid. Intraoperative finding was gastric (antrum) perforation, and omental patch was performed to close the defect (Fig. 1d).
case_images: PMC7585363_02
case_images: A) Chest X-ray showed atypical bronchopneumonia, B) Abdominal X-ray showed small bowel obstruction suspected ileus, and C) Intraoperative finding of multiple intestinal strictures and stenosis.
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case_images: fig0010
case_images: Chest X-Ray showed atypical bronchopneumonia (Fig. 2a) and chest CT scan showed bilateral pleural reaction with signs of pneumonia. Abdominal X-Ray showed ileus with small bowel obstruction suspected (Fig. 2b) and abdominal MSCT showed small intestine dilatation with sigmoid colon mass suspected. Intraoperative findings were multiple intestinal strictures with intestinal stenosis and ileal resection followed by end-to-end anastomosis using linear cutter was done (Fig. 2c).
case_images: PMC7585363_03
case_images: A) Chest X-ray showed normal lung and heart, B) Chest MSCT showed pleuritis, C) Abdominal MSCT showed pancreatitis necroticans, and D) Intraoperative finding of pancreatitis necroticans.
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case_images: fig0015
case_images: Chest X-Ray showed normal result (Fig. 3a) and chest CT scan showed pleuritis in the lower posterior side of her left lung (Fig. 3b). Abdominal CT scan showed pancreatitis necroticans (Fig. 3c) and abdominal ultrasonography showed cholecystitis and multiple cholelithiasis. Pancreatic debridement, cholecystectomy, and appendectomy were done (Fig. 3d).
case_images: PMC7585363_04
case_images: A) Chest X-ray showed multiple metastatic nodules, B) Chest MSCT showed multiple metastatic nodules, C) Abdominal MSCT showed sigmoid tumour, and D) Intraoperative finding of rectosigmoid tumor.
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case_images: Chest X-Ray (Fig. 4a) and CT scan (Fig. 4b) showed multiple metastatic nodules in both lungs without signs of bronchopneumonia or pleural effusion. Abdominal CT scan showed (Fig. 4c) 9 x 3.5 cm sigmoid tumor, posterior sigmoid lymph node enlargement, and liver metastases. Tumor resection and Hartmann's procedure were done (Fig. 4d).