PMC4499271_01
PMC4499271_02
Standard radiography of the abdomen, note the small air fluid level projected upper the right quadrant
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F0001
A standard radiography of the abdomen showed many small and central air-fluid levels, with an abnormal projection of an air-fluid level near to the liver area (Figure 1).
Abdominal CT scan, G= gallbladder, R= right Liver, D= duodenum, H = herniated loop, V= mesenteric vessels
PAMJ-20-384-g002.jpg
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F0002
An abdominal CT scan confirmed the presence of a small bowel loop with its mesenteric vessels projected between the right colon and the liver (Figure 2).
Intra-operative view, D= departure, H= herniated ileal loop
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F0003
TOH trough a defect in the right side of the greater omentum measuring 4 cm of diameter strangling a small bowel loop that measured 40 cm, and looked ischemic but returned back to normal coloration after reduction (Figure 3, Figure 4). To prevent recurrences we proceeded to the section of the greater omentum from its free edge to the abnormal defect.
Intra-operative view, G= the greater omentum defect after bowel reduction
PAMJ-20-384-g004.jpg
PMC4499271_02_PAMJ-20-384-g004.jpg
F0004
TOH trough a defect in the right side of the greater omentum measuring 4 cm of diameter strangling a small bowel loop that measured 40 cm, and looked ischemic but returned back to normal coloration after reduction (Figure 3, Figure 4). To prevent recurrences we proceeded to the section of the greater omentum from its free edge to the abnormal defect.