PMC5537450_01
An abdominal computed tomography scan. This figure show slightly dilated stomach and jejunum, and large bilateral inguinoscrotal hernia containing small bowel, cecum, ascending colon, and sigmoid colon.
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There was no remarkable occlusion point (Fig. 1).
Two days aftershow.
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A CT scan revealed free air in the right inguinal hernia sac and much ascites (Fig. 2).
There was perforation of cecum. Terminal ileum of about 100 cm from bauhin valve had become necrotic.
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The terminal ileum had become necrotic over about 100 cm behind Bauhin's valve (Fig. 3).
Patient's general condition was very severe due to septick shock. We used several antibiotic agents, vasopressure agent and continuous hemodiafiltration.
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We used several antibiotic agents, a vasopressure agent, and continuous hemodiafiltration; despite these attempts, the patient regrettably passed away on postoperative day 18 (Fig. 4).