PMC9977203_01
One of the small bowel perforations identified during the initial surgery
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FIG1
The patient was taken for an emergency exploratory laparotomy which revealed four enterotomies (Figure 1), mesenteric laceration (Figure 2), and five seromuscular injuries in the small bowel.
Mesenteric laceration encountered on initial exploration
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FIG2
The patient was taken for an emergency exploratory laparotomy which revealed four enterotomies (Figure 1), mesenteric laceration (Figure 2), and five seromuscular injuries in the small bowel.
Repeat CT scan after initial surgery showing dilated bowel loops (blue arrow) and mesenteric fat stranding (red arrow). No evidence of a contrast leak.
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FIG3
Her condition did not improve in the following days, and a repeat CT scan showed mesenteric fat stranding, dilated bowel loops and no evidence of contrast leak (Figure 3).
One of the newly discovered enterotomies on re-exploration
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FIG4
The patient was re-explored on postoperative day 5, where two further enterotomies (Figure 4) were identified including one on the mesenteric border of the small bowel in addition to persistent leak from prior repair sites.