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The air pockets were also traced to the splenic vein (fig 1A, below), inferior mesenteric vein (fig 1B) and perirectal space (fig 1C). Enhancement of the small bowels was intact. Emergency exploratory laparotomy on the same day as the computed tomography (CT) scan was performed revealed turbid ascites but intact peristalsis and vital colour of the small bowels and colon; therefore, bowel resections were not performed. Haemorrhagic and inflammatory change of pancreas was found. Rubber drains were inserted and after normal saline irrigation they …

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