most probable site of bowel perforation

Marked pneumoperitoneum with moderate amount of free fluid (15 HU) – suggestive of hollow viscus perforation.

Edematous jejunal loops in the left quadrant with short segment non-enhancing mural thickening of one at the ‘superior wall of jejunal loop in the left lumbar quadrant ‘- suggesting ‘most probable site of bowel perforation’.

A small duodenal diverticulum arising from the medial wall of D1-D2 segment with normal wall thickness.

Recommend clinical correlation