case_images: PMC7881921_01
case_images: PMC7881921_02
case_images: AXR supine (A) and erect (B) views showing dilated large intestine and in particular the caecum (asterix) with the normal small intestine caliber and no abnormal air-fluid pattern (curved arrow)
case_images: PAMJ-37-298-g001.jpg
case_images: PMC7881921_02_PAMJ-37-298-g001.jpg
case_images: F1
case_images: AXR revealed dilated large bowel with normal small bowels and no abnormal air-fluid levels (Figure 1).
case_images: barium enema study showing dilated large intestine (bidirectional arrows) without evidence of mechanical obstruction. There is continuous filling down to the rectum (short arrow)
case_images: PAMJ-37-298-g002.jpg
case_images: PMC7881921_02_PAMJ-37-298-g002.jpg
case_images: F2
case_images: Barium enema study demonstrated dilated large intestine without evidence of mechanical obstruction (Figure 2).
case_images: coronal views of CT scan reveal dilated large intestine up to caecum (asterix) with no zone of transition, normal small bowel caliber, and no ascites or pneumoperitoneum. Incidentally, the patient was incidentally found to have bilateral adnexal dermoid cysts (blue arrows)
case_images: PAMJ-37-298-g003.jpg
case_images: PMC7881921_02_PAMJ-37-298-g003.jpg
case_images: F3
case_images: CT scan was also performed and revealed dilated large intestine without any zone of transition and normal wall thickness, small bowels were normal and no ascites or pneumoperitoneum (Figure 3).
case_images: colonoscopy images revealing two superficial ulcers (arrowheads) in the rectum the histology of which revealed non-specific inflammatory changes
case_images: PAMJ-37-298-g004.jpg
case_images: PMC7881921_02_PAMJ-37-298-g004.jpg
case_images: F4
case_images: However, two superficial ulcers were seen in the rectum (Figure 4) and biopsy was obtained and the results revealed non-specific inflammatory changes.