File:Closed loop small bowel obstruction - internal hernia (Radiopaedia 57806-64778 B 132).jpg

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Closed_loop_small_bowel_obstruction_-_internal_hernia_(Radiopaedia_57806-64778_B_132).jpg ‎(512 × 512 pixels, file size: 52 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 57806
  • Study ID: 64778
  • Image ID: 35210854
  • Plane projection: Axial
  • Modality: CT
  • System: Gastrointestinal
  • Findings: Several loops of severely-abnormally appearing small bowel in the lower mid abdomen, with classic features of closed-loop obstruction. There is diminished wall enhancement, interloop fluid, and mesenteric edema. The mesenteric vessels have a "C" shaped with radial distribution of vessels towards the point of obstruction. On the sagittal images, they appear clustered. On the coronal "key image" in the midline at the level of the iliac bones, there is a faecalized, mildly dilated loop of small bowel which abruptly narrows as it enters this abnormal collection of small bowel, and there is also an adjacent normal-appearing segment of small bowel leaving the collection. Apparent laminar filling defect in the ileocolic vein, likely to represent flow artifact, rather than thrombosis.
  • Author location: Madison, United States
Date 05 Feb 2018
Source Closed loop small bowel obstruction - internal hernia
Author Michael P Hartung
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

This file is ineligible for copyright and therefore in the public domain, because it is a technical image created as part of a standard medical diagnostic procedure. No creative element rising above the threshold of originality was involved in its production.

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