PMC6109567_01
CT scan of the abdomen. Retroperitoneal free air.
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fig1
After fluid resuscitation, another CT of the chest and abdomen with oral and intravenous contrast was performed one week from prior CT, which revealed persistent dilation of the stomach, small bowel, and large bowel, a left colonic mass, and large amount of retroperitoneal free fluid in the region of the duodenum and pancreas (Figures 1 and 2).
CT scan of the abdomen. Image shows dilated small bowel loops with air fluid level and small bowel obstruction.
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fig2
After fluid resuscitation, another CT of the chest and abdomen with oral and intravenous contrast was performed one week from prior CT, which revealed persistent dilation of the stomach, small bowel, and large bowel, a left colonic mass, and large amount of retroperitoneal free fluid in the region of the duodenum and pancreas (Figures 1 and 2).
Histology slide. Small intestinal tissue with acute serositis (red arrow) consistent with perforated viscus.
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fig3
The diverticulum was dissected off, stapled, and sent for pathology (Figure 3).