Figure 1. First laparotomy - Initial findings and segment of the resected ileum.

A. Inspection of the abdominal cavity during the first laparotomy revealed abdominal contamination, and central block of bowel loops with up to 12 cm of dilation, areas of ischemia, and three perforation sites (pointed in green) are noted. B. Segment of the ileum resection with notable small bowel dilation (pointed in green).