PMC9949558_01
X-ray abdomen (erect view) showing air-fluid level (white arrow) and herniated and obstructed bowel loop (yellow arrow).
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FIG1
There was no air under the diaphragm (Figure 1).
Computed tomography (axial view) showing (A) previous drain site (yellow arrow), grossly dilated right colon (white arrow), volvulus of the herniated transverse colon (blue arrow), (B) a grossly dilated segment of the transverse colon (white arrow) and grossly dilated right colon (yellow arrow).
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FIG2
Contrast-enhanced CT abdomen showed herniation of the transverse colon through a defect in the right lateral abdominal wall with features of obstruction (Figures 2A, 2B).
Computed tomography (coronal view) showing grossly dilated right colon (red arrow), the ileocecal junction (blue arrow), and herniated transverse colon volvulus at the previous drain site (yellow arrows).
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FIG3
There was no evidence of bowel gangrene in herniated bowel (Figure 3).
Intraoperative image showing (A) volvulus (white arrow-360-degree rotated) of the transverse colon (yellow arrow) and (B) derotated (yellow arrow) transverse colon (white arrow).
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FIG4
The transverse colon was derotated and pushed back into the abdomen (Figures 4A, 4B).