Description

A woman aged 83 years with mediastinal tumour was admitted to our hospital with 2 days of abdominal pain. She had reduced consciousness and abdominal tenderness with peritoneal signs. Vital signs, physical examination and laboratory findings indicated sepsis and disseminated intravascular coagulation (DIC) with pan-peritonitis. Contrast-enhanced CT showed lack of enhancement in the intestinal and caecal wall, with intramural gas (figure 1A), portal venous gas (figure 1B) and gas in …