Grossly, the colon had multiple perforations, a stricture, and an inflamed and thickened area to the point where it almost closed the lumen ( Figure 2B).
The resected specimen was then sent to the pathology department for further examination. At surgery, an old perforated necrotic area was spotted necessitating resection of the whole sigmoid ( Figure 2A). Unfortunately, the colon was extremely friable it perforated, and the kid underwent surgery. Since our hospital does not own an MR Enterography another colonoscopy was scheduled. In the following months, the patient did not show enough improvement, while conversely, he developed a persistent abdominal distention and pain in the left iliac fossa. Colonoscopy showing an edematous sigmoid colon with (A) ulcerated (B) reddish surface (C, D) covered by exudates.
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