PMC8017362_01
PMC8017362_02
abdominal CT revealing pneumo peritoneum (blue arrow), and moderate free fluid (red arrow), and fecal impaction of the large bowel (yellow arrow)
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F1
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).
abdominal CT revealing peri-rectal fat standing (arrow) dilation of the rectum, site of several faecalomas (star)
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F2
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).
ovoid sigmoid perforation (star), on the anti-mesenteric side, measuring 5 cm in diameter, with a very hard fecal impaction (arrow) through this orifice
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F3
Surgical exploration (Figure 3) showed generalized peritonitis with presence of false membranes and murky, purulent fluid throughout the abdomen.