case_images: PMC4010013_01
case_images: Chest radiograph at the initial diagnosis showed bilateral hypodiaphragmatic free air.
case_images: CRIM.CRITICAL.CARE2011-824639.001.jpg
case_images: PMC4010013_01_CRIM.CRITICAL.CARE2011-824639.001.jpg
case_images: fig1
case_images: A chest X-ray obtained with the patient upright demonstrated free air under the diaphragm bilaterally (Figure 1).
case_images: Macroscopic findings of resected transverse colonic specimen show multiple perforations. Perforated holes with circular-shape are each from 5 to 10 mm in diameter.
case_images: CRIM.CRITICAL.CARE2011-824639.002.jpg
case_images: PMC4010013_01_CRIM.CRITICAL.CARE2011-824639.002.jpg
case_images: fig2
case_images: The resected specimen contained a large amount of soft stool and exhibited 11 punched-out ulcerations, many of which measured up to 10 mm in diameter (Figure 2).
case_images: Microscopic specimen demonstrates punched-out ulcer. There is active inflammation around the ulcer. (haematoxylin and eosin x40).
case_images: CRIM.CRITICAL.CARE2011-824639.003.jpg
case_images: PMC4010013_01_CRIM.CRITICAL.CARE2011-824639.003.jpg
case_images: fig3
case_images: Microscopic examination revealed nonspecific findings and showed perforation of the intestinal wall with infiltration of the ulcer bed with leukocytes (Figure 3). 