PMC7533013_01
Abdominal CT scan injected in the late phase, showing a fluid dilation of the small intestine and a short junction syndrome in the periumbilical area with no image of "small bowel feces" upstream, reflecting a volvulus, with thick and poorly enhanced digestive walls: (a) axial section; (b) frontal reconstruction.
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fig1
A contrast-enhanced CT scan of the abdomen and pelvis revealed a closed-loop small bowel obstruction (Figure 1).
Intraoperative image showing Meckel's diverticulum attached to the mesentery (a, blue arrow), necrotic at its tip (orange arrow), and necrotic intestinal loops (b, green arrow).
CRIS2020-8872668.002.jpg
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fig2
Meckel diverticulum was found at the basis of the volvulus, fixed on the adjacent mesentery (Figure 2(a)) measuring 15 cm. It was localized at 80 cm of the ileocecal junction and necrotic at its distal end (Figure 2(b)).