PMC6091281_01
CT findings of the first case. The arrow indicates the extraperitoneal perforation.
CRIS2018-3030869.001.jpg
PMC6091281_01_CRIS2018-3030869.001.jpg
fig1
An abdominal CT scan (Figure 1) showed diffuse subcutaneous abdominal emphysema extending to the pelvis on the left side that was more pronounced on the right inguinal fossa with a bowel loop in contact with the abdominal wall.
PMC6091281_02
CT findings of the second case. The arrow represents once again the extraperitoneal perforation.
CRIS2018-3030869.002.jpg
PMC6091281_02_CRIS2018-3030869.002.jpg
fig2
An abdominal CT confirmed the presence of a sigmoid perforation, with liquid extending from a suprapubic hernial sac all the way to the subcutaneous tissue on the left abdominal wall, which contained free air and feces (Figure 2).