PMC6470434_01
Computed tomography image from case 1. A postoperative second look at the image revealed the presence of a thick fibrotic membrane with a cocoon-like shape that was initially described as internal herniation (arrow).
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fig1
CT images revealed internal herniation, which occupied part of the right abdomen, containing part of the ileum (Figure 1).
Intraoperative findings of case 1. The membrane covering the dilated loops of the small intestine (arrow).
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fig2
The small bowel loops were encased and interloop adhesions could be seen (Figures 2 and 3).
Intraoperative findings of case 1. Intestinal loops released from the cocoon-like membrane (arrow).
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fig3
The small bowel loops were encased and interloop adhesions could be seen (Figures 2 and 3).
PMC6470434_02
Computed tomography findings of case 2. Dilated small bowel loops, wall thickness, amorphous calcifications, and signs of obstruction could be seen (arrows).
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fig4
Mesentery was thick-walled and amorphous calcifications were also seen (Figure 4).
Intraoperative findings of case 2. Excision of the peritoneal membrane that covered the dilated small and large bowel (arrow).
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fig5
During the operation, the fibrotic membrane was excised, followed by adhesiolysis between the intestinal loops (Figure 5).