case_images: PMC8017362_01
case_images: PMC8017362_02
case_images: abdominal CT revealing pneumo peritoneum (blue arrow), and moderate free fluid (red arrow), and fecal impaction of the large bowel (yellow arrow)
case_images: PAMJ-38-48-g001.jpg
case_images: PMC8017362_02_PAMJ-38-48-g001.jpg
case_images: F1
case_images: The abdominal computerized tomography (CT) (Figure 1) revealed pneumoperitoneum, with focal wall thickening of the proximal sigmoid colon and moderate free fluid in the pelvis with a megacolon, and fecal impaction of the large bowel with a peri-colic and peri-rectal fat standing (Figure 2).
case_images: abdominal CT revealing peri-rectal fat standing (arrow) dilation of the rectum, site of several faecalomas (star)
case_images: PAMJ-38-48-g002.jpg
case_images: PMC8017362_02_PAMJ-38-48-g002.jpg
case_images: F2
case_images: The abdominal computerized tomography (CT) (Figure 1) revealed pneumoperitoneum, with focal wall thickening of the proximal sigmoid colon and moderate free fluid in the pelvis with a megacolon, and fecal impaction of the large bowel with a peri-colic and peri-rectal fat standing (Figure 2).
case_images: ovoid sigmoid perforation (star), on the anti-mesenteric side, measuring 5 cm in diameter, with a very hard fecal impaction (arrow) through this orifice
case_images: PAMJ-38-48-g003.jpg
case_images: PMC8017362_02_PAMJ-38-48-g003.jpg
case_images: F3
case_images: Surgical exploration (Figure 3) showed generalized peritonitis with presence of false membranes and murky, purulent fluid throughout the abdomen.