case_images: PMC11768504_01
case_images: CT scan demonstrating (a) marked mural thickening of the small bowel in the right lower quadrant with areas of mural discontinuity (arrow) and peritoneal free fluid suggestive of perforation (b) ovoid soft tissue density in a small bowel loop, with collapsed small bowel loops distally.
case_images: rjaf026f1.jpg
case_images: PMC11768504_01_rjaf026f1.jpg
case_images: f1
case_images: Distally, there was a non-specific ovoid soft tissue density structure in a small bowel loop, beyond which small bowel loops were collapsed (Fig. 1).
case_images: Intraoperative photo of 100 cm resected mid small bowel demonstrating multiple small bowel diverticula with two areas of perforation related to it (arrows) and a gallstone distal to the perforation (star).
case_images: rjaf026f2.jpg
case_images: PMC11768504_01_rjaf026f2.jpg
case_images: f2
case_images: There was a palpable 3 cm solid intraluminal mass distal to the perforations in the proximal ileum, significant proximal small bowel dilatation and multiple other uncomplicated jejunal diverticula (Fig. 2).