PMC5749288_01
Axial view of CAT scan. Mesenteric swirl sign.
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The patient re-presented to the emergency room, where a CAT scan was performed (Figure 1) which showed mesenteric swirling secondary to possible internal hernia.
Laparoscopic view of adherent small bowel.
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The operation was started laparoscopically but was soon converted to an open laparotomy due to a large mass of small bowel swirled onto itself that was adhered together (Figure 2).
Open view of volvulized small bowel.
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It was seen that the mesentery had swirled and twisted upon itself (Figure 3).