case_images: PMC7439188_01
case_images: Chest X-ray showing gas under diaphragm.
case_images: CRIID2020-8845263.001.jpg
case_images: PMC7439188_01_CRIID2020-8845263.001.jpg
case_images: fig1
case_images: After stabilization, the patient was shifted for chest and abdominal X-ray, which showed gas under the diaphragm (Figure 1).
case_images: (a) Resected bowel segment showing the gangrenous ascending colon (dashed arrow) and sloughed off caecum (bold arrow). (b) Resected transverse colon with mesocolon (gangrenous with multiple perforations).
case_images: CRIID2020-8845263.002.jpg
case_images: PMC7439188_01_CRIID2020-8845263.002.jpg
case_images: fig2
case_images: The caecum was found to be gangrenous and had sloughed off (Figure 2) and there were multiple perforations in the ascending colon and transverse colon.
case_images: Resected descending colon showing multiple perforations (arrows).
case_images: CRIID2020-8845263.003.jpg
case_images: PMC7439188_01_CRIID2020-8845263.003.jpg
case_images: fig3
case_images: Gross examination of the resected colectomy specimen showed sloughed off caecum with multiple perforations in the ascending, transverse, and descending colon (Figure 3).
case_images: Opened up descending colon showing multiple areas of sloughed off mucosa with necrosis and perforation.
case_images: CRIID2020-8845263.004.jpg
case_images: PMC7439188_01_CRIID2020-8845263.004.jpg
case_images: fig4
case_images: On cut section examination, there were patchy segments of extensive transmural necrosis with multiple defects ranging from 0.5-2 cm throughout the large bowel (Figure 4).
case_images: H&E stained tissue from ulcer from the resected specimen of the colon; arrow indicates trophozoites of E. histolytica.
case_images: CRIID2020-8845263.005.jpg
case_images: PMC7439188_01_CRIID2020-8845263.005.jpg
case_images: fig5
case_images: The colonic mucosal ulcers were covered with neutrophilic debris within which E. histolytica were identified (Figure 5).
case_images: Periodic acid-Schiff (PAS) positive amoebic trophozoites.
case_images: CRIID2020-8845263.006.jpg
case_images: PMC7439188_01_CRIID2020-8845263.006.jpg
case_images: fig6
case_images: Periodic acid-Schiff staining was positive (Figure 6).