PMC8112357_01
Retroperitoneal pouch through which the small intestines were lodged. Notice the blood vessels at the edges of the defect
NJS-27-78-g001.jpg
PMC8112357_01_NJS-27-78-g001.jpg
F1
The pouch had a 5-7 cm defect to the left of the duodenum along an avascular plane with vessels superior and inferior [Figure 1].
Dilated loops of dusky-red small intestines with petechiae reaction reduced from the pouch and freed from the torsion. The normal pink color returned in <5 min after reduction
NJS-27-78-g002.jpg
PMC8112357_01_NJS-27-78-g002.jpg
F2
The dilated small intestinal loops (volvulus) were untorted, while the loops of intestines trapped in the peritoneal sac were reduced, appearing dusky red [Figure 2] but viable.
Closure of the defect with interrupted silk sutures
NJS-27-78-g003.jpg
PMC8112357_01_NJS-27-78-g003.jpg
F3
The defect in the mesocolon was closed with silk sutures [Figure 3], ensuring that the vessels at its margins were not injured.