PMC4420407_01
Small bowel loops adherent and jumbled up below the stomach and greater omentum adherent simulating as a true opening.
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F1
On dissection of upper cystic structure, few loops of small bowel were found trapped beneath the stomach (lesser sac) and appeared herniated through a well appreciable opening (Fig.1).
Figure 2: Gut loops dissected out of lesser sac.
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F2
In the lesser sac, the small bowel loops were adherent with each other and the posterior wall of stomach; feculent colored exudate was visible over bowel loops (Fig.2).
Figure 3: Complete congenital pouch colon a wall of which was exteriorized as window colostomy (Arrow).
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F3
The second cystic structure was a complete pouch colon with a small perforation (Fig.3).