PMC4818312_01
Ileum perforation.
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She was posted of exploratory laparotomy which revealed perforation in the ileum (Fig. 1).
PMC4818312_02
Seat belt sign.
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Abdominal examination showed seat belt sign (Fig. 2), with mild generalized tenderness.
CT abdomen after 24 h showing mesenteric stranding fluid collection and ileum thickening.
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CT abdomen repeated and showed mesenteric fat stranding more prominent in the pelvis with surrounding minimal free fluid collection (Fig. 3).
Mesenteric injury and devascularized ileum.
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Exploratory Laparotomy was done and showed mesenteric injury with devascularization of the terminal ileum (Fig. 4).