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The abdomen was opened through a lower midline incision. There was a large amount of cloudy peritoneal fluid on opening, but no feculent soilage. The fluid was cultured and sent for gram stain. Numerous WBCs were seen, but no bacteria. Multiple loops of loosely adhesed small bowel loops were bluntly separated from the inflamed segment. The area of perforation was seen at the center of fibrinous adhesions over the low rectosigmoid area of inflammation.
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