PMC4010013_01
Chest radiograph at the initial diagnosis showed bilateral hypodiaphragmatic free air.
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fig1
A chest X-ray obtained with the patient upright demonstrated free air under the diaphragm bilaterally (Figure 1).
Macroscopic findings of resected transverse colonic specimen show multiple perforations. Perforated holes with circular-shape are each from 5 to 10 mm in diameter.
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fig2
The resected specimen contained a large amount of soft stool and exhibited 11 punched-out ulcerations, many of which measured up to 10 mm in diameter (Figure 2).
Microscopic specimen demonstrates punched-out ulcer. There is active inflammation around the ulcer. (haematoxylin and eosin x40).
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fig3
Microscopic examination revealed nonspecific findings and showed perforation of the intestinal wall with infiltration of the ulcer bed with leukocytes (Figure 3). 