PMC6120425_01
Horizontal abdominal CT.. Enhanced horizontal abdominal CT shows encapsulated cluster of jejunum loops in the left upper quadrant surrounded by hernia sac (arrowhead) posterior to the inferior mesenteric vein (arrow).
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Computed tomography revealed an encapsulated cluster of jejunum loops in the left upper quadrant, near the ligament of Treitz and posterior to the inferior mesenteric vein (Fig. 1, Fig. 2).
Laparoscopic surgical findings.. The hernia orifice was found near the ligament of Treitz, posterior to the inferior mesenteric vein (arrowhead). It was 5 cm sized in diameter.
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The hernia orifice was closed intracorporeally with 4 interrupted sutures, taking care not to injure the duodenojejunal flexure medially and the inferior mesenteric vein laterally (Fig. 3, Fig. 4).