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Chest and abdomen radiographs reveal dilated bowel and multiple air-fluid levels; there is no air under the diaphragm.
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There was no air under the diaphragm (Fig. 1).
CT abdomen axial views show small intestinal obstruction, with the transitional zone (arrow) at the cluster of inflamed distal ileal loops close to the cecum and ileocecal valve (asterisk); there are adjacent small loculated collections.
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Computed tomography (CT) of the abdomen, axial and coronal views (Fig. 2), confirmed small intestinal obstruction, with the transitional zone at the cluster of inflamed distal ileal loops close to the cecum and ileocecal valve; there were adjacent small loculated collections, but no free air.
Hernial sac containing small bowel entering through the inferior ileocecal recess.
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Intraoperatively, small bowel was distended, with hernial sac containing small bowel was seen passing through the inferior ileocecal recess (Fig. 3).