PMC7596452_01
CT scan depicting focal wall thickening of the distal ileum and surrounding fat stranding and air loculi along the wall of the distal ileum (arrow).
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Computed tomographic (CT) examination of the abdomen showed multiple ileal diverticulae with focal wall thickening of the distal ileum and surrounding fat stranding and air loculi along the wall of the distal ileum suggestive of ileal diverticulitis with localized perforation (Figure 1).
CT scan revealing perforation and collection at the distal ileum (arrow).
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A repeat CT with oral contrast revealed evidence of distal ileal perforation (Figure 2).
Intraoperative image depicting the site of ileal diverticular perforation on the mesenteric border.
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We noted a perforation in the ileum 50 cm from the ileocecal valve on the mesenteric aspect of the bowel with a purulent exudate covering the terminal ileum (Figure 3).
Postoperative enteroscopy depicting multiple diverticulae.
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Enteroscopic examination through the stoma showed multiple diverticulae up to 50 cm within the proximal limb (Figure 4).