PMC6717955_01
Enhanced computed tomography (CT) image showing the incarcerated small intestine in left retroperitoneal space. (dotted red circle: incarcerated small intestine, white arrow: the hernia orifice, a: horizontal image, b: coronal image).
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There were no ischemic findings (Fig. 1).
Gastrografin contrast radiography through a long tube showing the closed loop (dotted red circle) and caliber change of small intestine (white arrow).
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It demonstrated a closed loop of small bowel in the left upper quadrant, consistent with findings of CT scan (Fig. 2).
Intraoperative photographs and the schema of then internal herrnia. a: The incarceration of the small intestine through the mesocolon (white arrows). b: The hernia orifice cut to dilate after pulling the incarcerated small intestine (white arrows). c: The schema of the internal hernia.
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Intraoperatively, it was revealed that the small intestine was incarcerated into the retroperitoneal space through the mesocolon and the small intestine proximally was dilated (Fig. 3).