Fig. 5.

High-output ECF in a 69-year-old man with history of repeated surgeries to manage jejunal and duodenal perforations from Zollinger-Ellison syndrome, followed by hemicolectomy, ileostomy, and colostomy because of ischemic bowel necrosis. At CT, the wide draining EFO corresponded to a 2-cm hypoattenuating discontinuity (arrowheads) in the thickened skin, closely adherent to distended bowel loops with air-fluid levels consistent with postoperative ileus