PMC7876740_01
A contrast-enhanced CT abdominal scan revealed multiple air fluid levels up to the middle-proximal ileum and a transition loop in the abdominal center.
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CT abdominal scan revealed a marked distension of the stomach and small bowel with multiple air fluid levels up to the middle-proximal ileum where there was a transition bowel loop with no appreciable causes of organic obstruction (Fig. 1). Considering the previous gynecological surgery and the probable presence of a single adhesion band, despite the hyperdistension of the intestinal loops we preferred a laparoscopic approach with possible conversion to open surgery in presence of difficult exposure of working space.
PMC7876740_02
A contrast-enhanced CT abdominal scan revealed multiple air fluid levels of the jejunoileal loops extending to the distal ileum.
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A contrast-enhanced CT scan confirmed this feature picture of intestinal obstruction with multiple air fluid levels of the jejuno-ileal loops extending to the distal ileum (Fig. 2).