case_images: PMC3872384_01
case_images: Chest (a) and abdominal (b) radiography revealed free air under bilateral diaphragms.
case_images: CRIM.MEDICINE2013-102614.001.jpg
case_images: PMC3872384_01_CRIM.MEDICINE2013-102614.001.jpg
case_images: fig1
case_images: Chest and abdominal radiography revealed free air under bilateral diaphragms, suggesting intestinal perforation (Figures 1(a) and 1(b)).
case_images: Abdominal computed tomography revealed the presence of ascites, free air in the abdominal cavity, and hard stools in the left-sided colon ((a), (b)).
case_images: CRIM.MEDICINE2013-102614.002.jpg
case_images: PMC3872384_01_CRIM.MEDICINE2013-102614.002.jpg
case_images: fig2
case_images: Abdominal computed tomography (CT) revealed the presence of ascites, free air in the abdominal cavity, and the retention of hard stools in the left-sided colon (Figures 2(a) and 2(b)).
case_images: Surgical findings revealed a perforated site in the descending colon surrounded with hard stools ((a), (b)).
case_images: CRIM.MEDICINE2013-102614.003.jpg
case_images: PMC3872384_01_CRIM.MEDICINE2013-102614.003.jpg
case_images: fig3
case_images: Surgical findings (Figures 3(a) and 3(b)) revealed a 55 x 22 mm perforated site in the middle of the descending colon surrounded with hard stools.
case_images: Several basophilic polygonal crystalline materials were found on hematoxylin and eosin staining (a), and crystalline materials were negative on PAS (b), Ziehl-Neelsen (c), and Congo-red stains (d).
case_images: CRIM.MEDICINE2013-102614.004.jpg
case_images: PMC3872384_01_CRIM.MEDICINE2013-102614.004.jpg
case_images: fig4
case_images: CPS with this perforation (Figure 4(a)). Crystalline materials were negative for PAS, Ziehl-Neelsen, and Congo-red stains (Figures 4(b), 4(c), and 4(d)).