case_images: PMC10764203_01
case_images: Abdominal X-ray and abdominal CT scan images.
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case_images: Abdominal X-ray showed no abnormalities (Fig. 1A), but abdominal CT scan revealed signs of bowel perforation, with free intraperitoneal air and fluid in the lower abdomen and pelvis (Figs 1B and C and 2A-E). The sigmoid colon and cecum showed segmentary hypercaptation and bowel wall thickening on abdominal CT scan, suspicious for a bowel perforation at those sites (Fig. 1C).
case_images: Abdominal CT scan with signs of bowel perforation.
case_images: rjad704f2.jpg
case_images: PMC10764203_01_rjad704f2.jpg
case_images: f2
case_images: Abdominal X-ray showed no abnormalities (Fig. 1A), but abdominal CT scan revealed signs of bowel perforation, with free intraperitoneal air and fluid in the lower abdomen and pelvis (Figs 1B and C and 2A-E).
case_images: Intraoperative images during laparoscopy and laparotomy.
case_images: rjad704f3.jpg
case_images: PMC10764203_01_rjad704f3.jpg
case_images: f3
case_images: An urgent exploratory laparoscopy was performed, confirming the diagnosis of a bowel perforation and revealing extensive abdominal contamination with fecaloid fluid and feces dispersed throughout the abdominal cavity (Fig. 3A-C). During inspection, large fecalomas were found in the abdominal cavity and rectum along with a large rectal tear (~4 cm) at the antimesenteric side of the middle one-third of the rectum (Fig. 3D and E).