case_images: PMC9922519_01
case_images: X-ray abdomen showing dilated colon (white arrow).
case_images: cureus-0015-00000033741-i01.jpg
case_images: PMC9922519_01_cureus-0015-00000033741-i01.jpg
case_images: FIG1
case_images: Lactic acid levels were 5.9 (<2.2), and the prothrombin time/international normalized ratio was 14.4 s/1.28; an X-ray abdomen showed massive distension of the large intestines, with intestinal loops compressing the chest cavity, more on the left than the right (Figure 1).
case_images: CT abdomen axial view showing massively dilated colon (white arrow).
case_images: cureus-0015-00000033741-i02.jpg
case_images: PMC9922519_01_cureus-0015-00000033741-i02.jpg
case_images: FIG2
case_images: Gangrenous massively dilated descending colon and sigmoid colon (black arrow).
case_images: cureus-0015-00000033741-i03.jpg
case_images: PMC9922519_01_cureus-0015-00000033741-i03.jpg
case_images: FIG3
case_images: During surgery, he was found to have a gangrenous sigmoid and a left colon sigmoidectomy, a left hemicolectomy, Hartmann's procedure, and a Pico wound, and vacuum-assisted closure (VAC) placement was done (Figure 3).