PMC7547356_01
Chest X-ray: yellow arrow shows gas under the right hemidiaphragm.
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fig1
The chest X-ray showed gas under both hemidiaphragms (Figure 1), and the supine abdominal X-ray showed distended bowel loops with evidence of extramural gas (Figure 2).
Supine abdominal X-ray shows distended bowel loops with evidence of extramural gas.
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fig2
The chest X-ray showed gas under both hemidiaphragms (Figure 1), and the supine abdominal X-ray showed distended bowel loops with evidence of extramural gas (Figure 2).
Noncontrast CT scan of the abdomen: yellow arrow shows the presence of intraperitoneal gas.
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fig3
His noncontrast CT scan confirmed the presence of a significant amount of intraperitoneal gas causing splinting of the diaphragm (Figure 3).
Intraoperative image: yellow arrow shows the perforation of the antemesenteric border of the rectosigmoid junction.
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There was a perforation at the antemesenteric border of the rectosigmoid junction with gross peritoneal contamination with liquid fecal matter (Figure 4).