PMC4874454_01
Coronal image of the computed tomography scan showing a dilated ascending colon with a herniation of the hepatic flexure between live rand stomach.. (A) Stomach. (B) Omental bursa with herniated and distended colon loop. (C) Distended ascending colon.
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PMC4874454_01_gr1.jpg
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Abdominal computed tomography (Fig. 1) showed the unusual amount of air was severe dilation of the ascending colon (up to 9.5 cm diameter), extending behind the hepatoduodenal ligament with consequent displacement of stomach and pancreas.
Laparoscopic image showing the herniation through the foramen of Winslow and the distended colon loop in the ometal bursa.. (A) Stomach. (B) Omental bursa with herniated and distended colon loop. (C) Hepatoduodenal ligament. (D) Foramen of Winslow.
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PMC4874454_01_gr2.jpg
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Laparoscopy was performed, showing herniation of dilated colon through foramen of Winslow, below the hepatoduodenal ligament (Fig. 2).