PMC4675476_01
Barium x-ray showing a cauliflower appearance in the lower abdomen and pelvis
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The barium X-ray showed jejunal and ileal loops dilatation with the contrast medium passing slowly (Figure 1).
Contrast-enhanced abdomen CT demonstrates small bowel dilatation with air-fluid
level
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Contrast-enhanced abdominal computed tomography showed small bowel loops and dilatation (Figure 2).
Intraoperative photograph showing small intestine encapsulated in white, thickened
cocoon-like membrane
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During surgery the small bowel dilatation was observed; its mesentery was edematous and the whole small bowel covered by a dense whitish membrane which gave the appearance of a cocoon (Figure 3).