PMC4334492_01
Contrast enhanced CT of the patient showing contrast filled large bowel to the left, dilated contrast filled stomach and small bowel without contrast to the right.
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A contrast enhanced abdominal CT scan revealed clockwise swirling of the SMA and its branches (whirlpool sign) with small bowels lying predominantly on the right side and large bowel predominantly on the left side(Fig. 1).
Operative photograph showing the SMA pedicle, the cecum and appendix to the left and terminal ileum passing behind the SMA pedicle.
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On exploration, nonrotation of the gut was found with the small intestines lying to the right of the superior mesenteric artery and large bowel to the left (Figs 2-5).
Operative photograph showing multiple jejunal diverticula.
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On exploration, nonrotation of the gut was found with the small intestines lying to the right of the superior mesenteric artery and large bowel to the left (Figs 2-5).
Operative photograph showing the completed anastomoses.
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On exploration, nonrotation of the gut was found with the small intestines lying to the right of the superior mesenteric artery and large bowel to the left (Figs 2-5).
Pictorial representation of the operative findings.
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On exploration, nonrotation of the gut was found with the small intestines lying to the right of the superior mesenteric artery and large bowel to the left (Figs 2-5).