Findings on computed tomography scan and during surgical procedure. [A] Abdominal computed tomography demonstrates free air and feces out of intestinal rumen in the peritoneal cavity. [B] Massive feces were observed in the abdominal cavity. 

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... LAL assay. We also demonstrated that the reductions in plasma endotoxin levels were accompanied with the improvement of hemodynamic conditions. The laboratory data were as follows: white blood cell count, 3,700/mm 3 ; C-reactive protein (CRP) lev- el, 0.06 mg/dL. The patient was diagnosed as hav- ing perforation of sigmoid colon by abdominal CT (Fig. 1A ). An emergent laparotomy was performed through a median abdominal incision. There was a large amount of feces and foul-smelling dirty ascites in the abdominal cavity (Fig. 1B ). An approxi- mately 10-mm perforation of sigmoid colon was not- ed. The perforated sigmoid colon was partially re- sected. The proximal descending colon was ...

Context 2

... white blood cell count, 3,700/mm 3 ; C-reactive protein (CRP) lev- el, 0.06 mg/dL. The patient was diagnosed as hav- ing perforation of sigmoid colon by abdominal CT (Fig. 1A ). An emergent laparotomy was performed through a median abdominal incision. There was a large amount of feces and foul-smelling dirty ascites in the abdominal cavity (Fig. 1B ). An approxi- mately 10-mm perforation of sigmoid colon was not- ed. The perforated sigmoid colon was partially re- sected. The proximal descending colon was diverted and a single-barrel colostomy was per- formed. Enterobactor cloacae, Enterococcus sp. Bacteroides fragilis were cultured from the ascites. The endotoxin level measured ...