PMC4706388_01
CT scan of the abdomen and pelvis.
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The result showed abnormally dilated loops of the small bowel throughout the abdomen and pelvis, with the gas/fluid levels as shown in Figure 1.
The picture in the left upper quadrant shows extensive adhesion of the peritoneum. The picture in the left lower quadrant shows a granuloma at left upper abdominal wall near the splenic flexure. A-D: abdominal wall and abdominal cavity.
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Further dissection revealed extensive peritonitis with granuloma located at the left upper abdominal wall near the splenic flexture (Fig. 2), which was biopsied.
The pictures in all four quadrants show extensive spread of the granulomas throughout the abdominal cavity. A and B: abdominal wall; C and D: abdominal cavity.
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Disseminated lesions were observed throughout the abdomen and pelvic/parietal/visceral peritoneum (Fig. 3).