PMC3789415_01
Abdominal computed tomography before surgery. Computed tomography demonstrated internal hernia of the small intestine (arrow: small intestine through the hernia orifice).
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fig1
Additionally, the small intestine was evident through the orifice of the internal hernia (Figure 1).
Photograph of operative findings. Internal hernia was evident through the rent of the mesentery around the Roux-en-Y limb of the hepaticojejunostomy (arrow: small intestine through the hernia orifice).
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fig2
During the operation, the patient was found to have internal herniation and volvulus of the small bowel through the defect of the mesentery around the Roux-en-Y limb of the hepaticojejunostomy (Figure 2).