PMC5120268_01
Computed tomography (CT) images of mechanical small-bowel obstruction.
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Unclear clinical findings were supplemented with abdominal computed tomography (CT) imaging using an intravenous contrast medium, the results of which showed fluid-filled small-bowel loops dilated to 4.5 cm, ascites in the lesser pelvis, an evacuated colon and ileum, and a transition zone in the right hypogastrium (Fig. 2).
Intraoperative findings of strangulated ileum due to adhesions extending from the distal end of the appendix to the retroperitoneum and incidental discovery of asymptomatic Meckel's diverticulum.
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Laparotomy revealed strangulation of the distal ileum by a fibrous band extending from the distal end of the appendix to the abdominal cavity wall (Fig. 3).