PMC9922519_01
X-ray abdomen showing dilated colon (white arrow).
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FIG1
Lactic acid levels were 5.9 (<2.2), and the prothrombin time/international normalized ratio was 14.4 s/1.28; an X-ray abdomen showed massive distension of the large intestines, with intestinal loops compressing the chest cavity, more on the left than the right (Figure 1).
CT abdomen axial view showing massively dilated colon (white arrow).
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FIG2
Gangrenous massively dilated descending colon and sigmoid colon (black arrow).
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FIG3
During surgery, he was found to have a gangrenous sigmoid and a left colon sigmoidectomy, a left hemicolectomy, Hartmann's procedure, and a Pico wound, and vacuum-assisted closure (VAC) placement was done (Figure 3).