PMC7204950_01
X-ray abdomen erect showing dilated bowel loops
JETS-13-88-g001.jpg
PMC7204950_01_JETS-13-88-g001.jpg
F1
X-ray abdomen erect revealed dilated bowel loops [Figure 1].
Computed tomography of the abdomen and pelvis revealing evidence of air pockets in the ischiorectal fossa and pelvis
JETS-13-88-g002.jpg
PMC7204950_01_JETS-13-88-g002.jpg
F2
Computed tomography scan of the abdomen revealed evidence of air pockets in both ischiorectal fossae and pelvis with subcutaneous emphysema tracking to intramuscular plane noted at the lower chest wall, the lower anterior abdominal wall around the perineal region, pelvic region, and scrotum with large bowel loops appearing grossly dilated [Figure 2].
Anterior long-segment serosal tear seen in the colon
JETS-13-88-g003.jpg
PMC7204950_01_JETS-13-88-g003.jpg
F3
On opening the peritoneum, the following were found: (1) distension of large bowel and small bowel; (2) long-segment serosal tear anteriorly along the upper rectum, sigmoid for a length of 20 cm; (3) another segment of serosal tear along the anterior wall of transverse colon; (4) long-segment serosal tears in the caecum, anteriorly and posteriorly for a length of 7 cm [Figure 3].