case_images: PMC4766762_01
case_images: X-ray showing multiple air fluid levels in a patient with internal herniation
case_images: JETS-9-32-g001.jpg
case_images: PMC4766762_01_JETS-9-32-g001.jpg
case_images: F1
case_images: Abdominal X-ray [Figure 1] revealed multiple air fluid levels and a contrast CT with oral and intravenous (IV) contrast revealed an obstruction at the jejunoileal junction.
case_images: PMC4766762_02
case_images: Computed tomography scan showing traumatic abdominal wall hernia
case_images: JETS-9-32-g002.jpg
case_images: PMC4766762_02_JETS-9-32-g002.jpg
case_images: F2
case_images: FAST exam was normal, but contrast CT revealed herniation of bowel through a defect in the anterior abdominal wall [Figure 2]. 3 days after injury, an exploratory laparotomy was done which showed no associated intraperitoneal injury and the hernia was reduced, and the defect reinforced with a mesh.
case_images: PMC4766762_03
case_images: PMC4766762_04
case_images: Contrast-enhanced computed tomography showing no enhancement of right kidney with no parenchymal injury
case_images: JETS-9-32-g003.jpg
case_images: PMC4766762_04_JETS-9-32-g003.jpg
case_images: F3
case_images: A contrast-enhanced CT (CECT) with oral and IV contrast revealed a completely devascularized right kidney [Figure 3].
case_images: PMC4766762_05
case_images: Contrast-enhanced computed tomography (coronal view) showing nonenhancement of both kidneys without parenchymal injury
case_images: JETS-9-32-g004.jpg
case_images: PMC4766762_05_JETS-9-32-g004.jpg
case_images: F4
case_images: CT with IV contrast revealed no enhancement in both kidneys in the arterial phase suggestive of bilateral renal pedicle injury [Figure 4].