PMC9243374_01
Computerized tomography of abdomen pelvis with contrast. (A) There is new diffuse marked colonic distention with fecal dilatation measuring up to 9 cm. There is a transition point at the sigmoid colon of unclear etiology. (B) In addition, there is a progression of small bowel dilatation, which is now fluid- and fecal-filled.
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Her initial computerized tomography (CT) scan of the abdomen and pelvis (Figure 1) revealed a diffusely dilated small bowel filled with fecal matter and marked colonic distention with cecal dilatation measuring 9 cm.
Computerized tomography of abdomen pelvis with contrast. (A) Moderate dilation of the colon with fluid and stool which is improved when compared with prior computerized tomography. No small bowel dilation.
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CT scan of her abdomen (Figure 2) noted no further small bowel dilation, free air, or free fluid. CT enterography showed no bowel wall thickening or imaging features to suggest inflammatory bowel disease.