PMC5554641_01
Caseous necrosis of the jejunum with multiple perforation sites
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Rhesus positive whole blood pre-operatively.Emergency laparotomy via a midline incision revealed about 4 liters of purulent peritoneal fluid, multiple enlarged peritoneal nodes measuring about 0.5 to 2mm thick, caseous necrosis of the omentum, and small bowel wall with three distinct sites of jejunal perforations (Figure 1). Resection of the necrotic jejunal segment with a primary end-to-end anastomosis was done.