PMC4382648_01
Swelling left lumbar region with echymosis
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F1
He presented with a complaint of pain in the abdomen and swelling in the left lumbar region [Figure 1].
Intraoperative picture showing parietal wall defect with omental protrusion
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F2
An incision was made over the herniation site, and omentum was found to be herniated out of the defect that was reduced into the peritoneal cavity [Figure 2].
Perforated transverse colon with tear in transverse mesocolon
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F3
Intraoperatively, there was gangrene of a part of the transverse colon in its distal 1/3rd part near splenic flexure with a tear in the mesocolon [Figure 3].