PMC7881921_01
PMC7881921_02
AXR supine (A) and erect (B) views showing dilated large intestine and in particular the caecum (asterix) with the normal small intestine caliber and no abnormal air-fluid pattern (curved arrow)
PAMJ-37-298-g001.jpg
PMC7881921_02_PAMJ-37-298-g001.jpg
F1
AXR revealed dilated large bowel with normal small bowels and no abnormal air-fluid levels (Figure 1).
barium enema study showing dilated large intestine (bidirectional arrows) without evidence of mechanical obstruction. There is continuous filling down to the rectum (short arrow)
PAMJ-37-298-g002.jpg
PMC7881921_02_PAMJ-37-298-g002.jpg
F2
Barium enema study demonstrated dilated large intestine without evidence of mechanical obstruction (Figure 2).
coronal views of CT scan reveal dilated large intestine up to caecum (asterix) with no zone of transition, normal small bowel caliber, and no ascites or pneumoperitoneum. Incidentally, the patient was incidentally found to have bilateral adnexal dermoid cysts (blue arrows)
PAMJ-37-298-g003.jpg
PMC7881921_02_PAMJ-37-298-g003.jpg
F3
CT scan was also performed and revealed dilated large intestine without any zone of transition and normal wall thickness, small bowels were normal and no ascites or pneumoperitoneum (Figure 3).
colonoscopy images revealing two superficial ulcers (arrowheads) in the rectum the histology of which revealed non-specific inflammatory changes
PAMJ-37-298-g004.jpg
PMC7881921_02_PAMJ-37-298-g004.jpg
F4
However, two superficial ulcers were seen in the rectum (Figure 4) and biopsy was obtained and the results revealed non-specific inflammatory changes.