PMC6205318_01
Abdominal CT (noncontrast-enhanced) findings in this patient. (a) Axial image showing that most of the small intestine was located in the right upper abdominal cavity and had a sac-like appearance (arrow). Ascites was observed within the sac. (b) Coronal image showing absence of the ligament of Treitz in the duodenum, along with a flattened inferior vena cava and distorted mesenteric veins (arrowhead). A 2 cm-sized gallstone was also observed.
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fig1
CT of the vascular system showed a flattened inferior vena cava in association with edematous mesenterium and dilated mesenteric veins, findings suggesting a strangulated ileus (Figures 1(a) and 1(b)).
Photograph showing laparoscopic findings during surgery of the distended small intestine and ascites under the ascending mesocolon.
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fig2
The duodenum showed a leftward and then a rightward bending, with most of the small intestine, except for a 1-meter-long section of the ileum in the ileocecal region, being packed within the ligament of Ladd, which formed a hernia sac (Figure 2).
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