PMC6942708_01
Significant findings from initial colonoscopy which the diagnosis of Crohn's disease was made. (a) Inflammation seen in cecum. (b) Inflammation in ascending colon. (c) Inflammation with friability and hemorrhage at the hepatic flexure.
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fig1
He had a colonoscopy which showed segmental areas of inflammation and deep ulcerations at the hepatic flexure and in the ascending colon with edema, granularity, and loss of vascularity (Figure 1).
CT scan images of significant findings on hospitalization including (a) Free air in the pelvis. (b) Free air with leaked contrast in the peritoneal space. (c) An enterocolic fistula. These findings determined the decision for exploratory laparotomy.
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fig2
A repeat CT was performed where it was seen that the patient developed intraperitoneal free air and fistulas requiring exploratory laparotomy (Figure 2).