case_images: PMC7332503_01
case_images: Extravasation of contrast material from the descending colon (arrow).
case_images: gr1.jpg
case_images: PMC7332503_01_gr1.jpg
case_images: fig0005
case_images: To confirm the perforation, a contrast enema was performed after the CT scan which showed extraluminal contrast adjacent to the descending colon (Fig. 1).
case_images: Retroperitoneal drainage through the left flank revealed a large amount of feculent discharge, necessitating a diverting loop ileostomy.
case_images: gr2.jpg
case_images: PMC7332503_01_gr2.jpg
case_images: fig0010
case_images: To control the leak, a loop ileostomy was performed for diversion (Fig. 2) on hospital day 34.
case_images: Duodenal fistula was demonstrated with injection of radiopaque contrast material through a percutaneous catheter (arrow).
case_images: gr3.jpg
case_images: PMC7332503_01_gr3.jpg
case_images: fig0015
case_images: A 12Fr catheter was placed through the abdominal wall and water soluble contrast injected which demonstrated a duodenal fistula (Fig. 3).