PMC3350059_01
Plain X-ray of the abdomen of patient 1, showing (a) dilatation and conglomeration of the proximal small bowel in the left upper quadrant of the abdomen, (b) the fixed clusters of small bowel maintained a constant position.
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fig1
Later, we found fixed clusters of small bowel maintained in a constant position (Figure 1).
(a) Operative findings in patient 1, showing a foreshortened small bowel encased in a firm, rigid, fibrous membrane firmly adherent to the bowel. (b) View following incision of the membrane, revealing compressed, coiled, distended small bowel loops with interloop adhesions.
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fig2
This resulted in normal-appearing bowel loops of normal length (Figure 2).
PMC3350059_02
Patient 2; small bowel loops encased by a sac.
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fig3
The fibrous sac was partially excised, and the interloop intestinal adhesions were lysed, resulting in a normal length of viable bowel (Figure 3).