case_images: PMC2824631_01
case_images: CT Scan showing a necrotic appendix with a stercolith (long arrow) and anterior wall perforation (short arrow).
case_images: 1749-7922-5-3-1.jpg
case_images: PMC2824631_01_1749-7922-5-3-1.jpg
case_images: F1
case_images: The abdominal CT scan with only IV contrast showed a perforation of the anterior rectal wall, 10 cm proximally from the anorectal border with multiple, partially confluent large abscesses located extra- and retroperitoneally (Figure 1). Due to a coprolith and local abscess formation, appendiceal perforation was also highly suspected (Figure 1).
case_images: Retroperitoneal phlegmon with some air bubbles.
case_images: 1749-7922-5-3-2.jpg
case_images: PMC2824631_01_1749-7922-5-3-2.jpg
case_images: F2
case_images: A significant air collection ascended from the lower pelvis through the retroperitoneal space up to the left kidney (Figure 2).
case_images: Hepatic portal venous gas in several intrahepatic portal branches.
case_images: 1749-7922-5-3-3.jpg
case_images: PMC2824631_01_1749-7922-5-3-3.jpg
case_images: F3
case_images: Finally, massive hepatic portal venous gas was detected (Figure 3).