PMC5602819_01
Enhanced computed tomographic images. (a) Fluid was present on the surface of the liver (arrow). (b) A small amount of free gas was observed in the pelvis (arrows).
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CT showed fluid on the surface of the liver and a small amount of free gas in the pelvis (Fig. 1).
Exploratory laparoscopy. (a) Purulent fluid was present in the right subphrenic and pelvic region. (b) A jejunal perforation was detected 80 cm distal to the ligament of Treitz. (c) The resected specimen contained an isolated 5-mm perforation.
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The jejunum 80 cm distal to the ligament of Treitz was swollen and covered with pus (Fig. 2a). A 5-mm isolated perforation was detected at this site (Fig. 2b).
Histological examination. An ulcer (arrows) was recognized around the perforation (arrowhead) without nonspecific inflammation.
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Pathological examination revealed an ulcer around the perforation with nonspecific inflammation, leading to a diagnosis of nonspecific ulcer of the jejunum (Fig. 3).
Capsule endoscopy. No signs of ulceration were observed.
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Capsule endoscopy was performed 1 month postoperatively, and no signs of ulcer were found in the small bowel (Fig. 4).