case_images: PMC11828384_01
case_images: A computerized tomography scan of the abdomen showing increased thickness of small bowel loops (arrows)
case_images: cureus-0017-00000077493-i01.jpg
case_images: PMC11828384_01_cureus-0017-00000077493-i01.jpg
case_images: FIG1
case_images: A computerized tomography (CT) scan of the abdomen and pelvis showed increased wall thickness in bowel loops, cecum, and ascending colon, suggestive of mild enterocolitis (Figure 1).
case_images: An axial computerized tomography scan of the abdomen showing colonic dilatation (arrow)
case_images: cureus-0017-00000077493-i02.jpg
case_images: PMC11828384_01_cureus-0017-00000077493-i02.jpg
case_images: FIG2
case_images: There were no features of mechanical obstruction or perforation (Figures 2, 3).
case_images: A sagittal computerized tomography scan of the abdomen showing colonic dilatation (arrow)
case_images: cureus-0017-00000077493-i03.jpg
case_images: PMC11828384_01_cureus-0017-00000077493-i03.jpg
case_images: FIG3
case_images: There were no features of mechanical obstruction or perforation (Figures 2, 3).
case_images: An abdominal X-ray obtained on day 26 of hospitalization showing continued colonic dilatation (arrow)
case_images: cureus-0017-00000077493-i04.jpg
case_images: PMC11828384_01_cureus-0017-00000077493-i04.jpg
case_images: FIG4
case_images: Serial abdominal X-rays continue to show marked distension, including in the ascending and descending colon, with gradual tapering in the descending colon (Figure 4).
case_images: An upright abdominal X-ray showing colonic dilatation (arrow)
case_images: cureus-0017-00000077493-i05.jpg
case_images: PMC11828384_01_cureus-0017-00000077493-i05.jpg
case_images: FIG5
case_images: However, over the next week, he was again noted to have abdominal distension with worsening colonic distention on X-rays (Figure 5).
case_images: Follow-up abdominal computerized tomography scan showing improvement in colonic distention (arrow)
case_images: cureus-0017-00000077493-i06.jpg
case_images: PMC11828384_01_cureus-0017-00000077493-i06.jpg
case_images: FIG6
case_images: The patient showed clinical and radiological improvement after receiving therapy with pyridostigmine and azithromycin for almost one week (Figure 6).