case_images: PMC10559688_01
case_images: Simple and contrast-enhanced computed tomography in the late phase, axial slice at L3-L4 level. Pneumoperitoneum ( ) is evidenced. Consisting with colon perforation.
case_images: 10.1177_2050313X231205127-fig1.jpg
case_images: PMC10559688_01_10.1177_2050313X231205127-fig1.jpg
case_images: fig1-2050313X231205127
case_images: Repeat abdominal tomography on the 14th day of hospitalization demonstrated pneumoperitoneum, consisting with colonic perforation (Figure 1).
case_images: Gross specimen: transverse colon showing irregular hemorrhagic adenomatous mucosa with multiple ulcerative lesions along its entire length.
case_images: 10.1177_2050313X231205127-fig2.jpg
case_images: PMC10559688_01_10.1177_2050313X231205127-fig2.jpg
case_images: fig2-2050313X231205127
case_images: A total colectomy with ileostomy and rectal stump closure were performed with no surgical complications in the transoperative period (Figure 2).
case_images: Microscopic slice of the colonic wall with foci of mucosal ulceration that in areas reaches the submucosa ( ), with edema and congestion. Parasitic forms corresponding to Entamoeba histolytica trophozoites (*).
case_images: 10.1177_2050313X231205127-fig3.jpg
case_images: PMC10559688_01_10.1177_2050313X231205127-fig3.jpg
case_images: fig3-2050313X231205127
case_images: E. histolytica trophozoites loaded with red blood cells were recognized in the entire bowel wall (Figure 3).