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Abdominal CT Scan revealing diffuse dilatation of small bowel's loops in the (A) axial plane and (B) coronal plane.
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CT of the abdomen and pelvis showed dilated loops of small bowel concerning ileus versus small bowel obstruction (Figure 1).
Intraoperative photos were taken during exploratory laparotomy, revealing matted trabeculated bowel with chronic and reactive inflammatory changes of the mesentery and intestine.
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The surgeon stated they could not safely dissect the peritoneum from the small bowel; therefore, the procedure was terminated without significant lysis of adhesions (Figure 2).
A and B - H&E stain with 20X magnification of peritoneal biopsy revealing fibro-adipose connective tissue with focal extensive fat necrosis and dystrophic calcifications, fibrosis, and scattered chronic inflammation.
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