https://doi.org/10.4081/ecj.2025.14621
A rare trouble in the small bowel
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Published: 18 December 2025
A 69-year-old woman presented to the emergency department with acute lower abdominal pain, peritonism and fever (body temperature 38.5 °C). Her past medical history was unremarkable. Laboratory tests revealed an increase of white blood cells (18.17 x 109/L; normal values 3.6-10.5 x 109/L), neutrophils (16.05 x 109/L; normal values 1.5-7.7 x 109/L), C-reactive protein (31.79 mg/dL; normal values < 0.5 mg/dL) and lactate dehydrogenase (315 U/L; normal values < 248 U/L) levels. Abdominal contrast-enhanced computed tomography (CT) scan showed a large outpouching filled by fecaloid material on the mesenteric side of a jejunal loop in the left lumbar region with stranding of adjacent fat (red arrow).
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CRediT authorship contribution
Massimo Barakat conceptualized and wrote the manuscript. Mario Capone and Ludovica Lotrecchiano drafted the report of the abdominal computed tomography scan. All Authors approved the final version of the manuscript.
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