PMC7610033_01
Enema examination findings.. a: Enema examination through the anus revealed no abnormal findings. b: Enema examination through the colostomy revealed a fistula between the transverse colon and small intestine (white arrow). c: Leakage of contrast agent was not observed.
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The enema examination revealed a fistula between the transverse colon and small intestine, while leakage of contrast agent was not observed (Fig. 1).
CT findings.. CT showed intraperitoneal free air (a: yellow arrows) and a small amount of ascites (b: yellow arrowheads). Leakage of contrast agent into the intraperitoneal cavity was not observed.
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CT showed intraperitoneal free air and a small amount of ascites, although contrast agent leakage into the intraperitoneal cavity was not observed (Fig. 2).
Intraoperative findings.. The index finger of the right hand was inserted into the proximal lumen of the colostomy. There was a 3-cm bowel perforation just inside the colostomy.
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Intraoperatively, there was a 3-cm bowel perforation just inside the colostomy where the inflated balloon was pressing (Fig. 3), and other perforation sites were not observed.