CT
- large perforation identified at the proximal jejunum
- walled-off collection identified posterior to the jejunum, measuring 50 x 30 mm in the maximal axial dimension
- large amount of extraluminal free gas identified in the left paramedian abdomen, adjacent to the bowel loops; further frank free gas locules are identified in the perihepatic and left upper quadrant region
- multiple small bowel diverticula seen
- inflammatory phlegmon of the ileum
Other findings on the scan which are chronic for this patient:
- small hiatus hernia
- a partially exophytic renal lesion is identified in the apical pole of the left kidney
- hypoechoic lesion with adjacent enhancement ? haemangioma located in hepatic segment 8
- pancreas is atrophic
- ill-defined, non-specific hypodensity is identified in the spleen - the spleen is otherwise normal on CT