PMC4560147_01
Abdominal CT scan showing whirl sign (white arrows), ascites, and closed-loop formation of the small intestine (white arrowheads): a axial section; b coronal section
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Fig1
Results of computed tomography (CT) of the abdomen revealed a beak sign, ascites, and a closed-loop formation of the small intestine (Fig. 1).
a Laparotomy showing chyle-like ascites and extensively damaged small intestine (white arrows). b About 20 cm of the jejunum from the ligament of Treitz (white arrows) was strangulated behind the lifting jejunal pedicle (white arrowheads) of the jejunal interposition formed during laparoscopic-assisted proximal gastrectomy
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PMC4560147_01_40792_2015_51_Fig2_HTML.jpg
Fig2
Treitz was strangulated behind the jejunal pedicle lifted following JI at LAPG (Figs. 2 and 3). The leading part contained about 30 cm of jejunum including the jejunojejunostomy formed during the LAPG.
Schema showing detailed findings of the internal hernia in this case
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PMC4560147_01_40792_2015_51_Fig3_HTML.jpg
Fig3
Treitz was strangulated behind the jejunal pedicle lifted following JI at LAPG (Figs. 2 and 3). The leading part contained about 30 cm of jejunum including the jejunojejunostomy formed during the LAPG.