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CT study shows pneumoperitoneum with free intraperitoneal gas seen at the upper abdomen, perihepatic region, falciform ligament, right iliac fossa, and left hypochondria.
The cecum and proximal right colon show prominent intramural gas (pneumatosis coli) forming gas bubbles (cystoides) seen predominantly involving the lateral antimesenteric colonic wall.
No evidence of free intraperitoneal fluid collection.
No peritoneal fat blurring.
No oral contrast leakage.