case_images: PMC3350059_01
case_images: Plain X-ray of the abdomen of patient 1, showing (a) dilatation and conglomeration of the proximal small bowel in the left upper quadrant of the abdomen, (b) the fixed clusters of small bowel maintained a constant position.
case_images: CRIM.SURGERY2011-940515.001.jpg
case_images: PMC3350059_01_CRIM.SURGERY2011-940515.001.jpg
case_images: fig1
case_images: Later, we found fixed clusters of small bowel maintained in a constant position (Figure 1).
case_images: (a) Operative findings in patient 1, showing a foreshortened small bowel encased in a firm, rigid, fibrous membrane firmly adherent to the bowel. (b) View following incision of the membrane, revealing compressed, coiled, distended small bowel loops with interloop adhesions.
case_images: CRIM.SURGERY2011-940515.002.jpg
case_images: PMC3350059_01_CRIM.SURGERY2011-940515.002.jpg
case_images: fig2
case_images: This resulted in normal-appearing bowel loops of normal length (Figure 2).
case_images: PMC3350059_02
case_images: Patient 2; small bowel loops encased by a sac.
case_images: CRIM.SURGERY2011-940515.003.jpg
case_images: PMC3350059_02_CRIM.SURGERY2011-940515.003.jpg
case_images: fig3
case_images: The fibrous sac was partially excised, and the interloop intestinal adhesions were lysed, resulting in a normal length of viable bowel (Figure 3).