PMC4907339_01
Selected axial image of the upper abdomen showing an afferent loop of bowel (anterior arrow) entering the lesser sac and an efferent limb (posterior arrow) exiting. Trace of fluid near the edge of the liver.
cgast-9-2016-031f1.jpg
PMC4907339_01_cgast-9-2016-031f1.jpg
f1-cgast-9-2016-031
The appearance was in keeping with an internal hernia resulting in a closed-loop obstruction (Figs. 1 and 2).
Coronal reformat with bowel loops in the lesser sac showing reduced enhancement (superior arrow) compared with normally located small bowel in the abdominal mesentery (inferior arrow). The stomach is displaced to the left (middle arrow).
cgast-9-2016-031f2.jpg
PMC4907339_01_cgast-9-2016-031f2.jpg
f2-cgast-9-2016-031
The appearance was in keeping with an internal hernia resulting in a closed-loop obstruction (Figs. 1 and 2).