case_images: PMC11717120_01
case_images: CT w/out contrast reveals focally dilated loop of transverse colon.
case_images: rjae839f1.jpg
case_images: PMC11717120_01_rjae839f1.jpg
case_images: f1
case_images: Computed tomography (CT) of the abdomen and pelvis revealed a focally dilated loop of viscera in the upper left quadrant, which was suggested to be either an internal hernia with resultant obstruction, or distention of the stomach, compatible with gastric volvulus (Fig. 1).
case_images: At laparotomy, distended loop of transverse colon with closed-loop obstruction.
case_images: rjae839f2.jpg
case_images: PMC11717120_01_rjae839f2.jpg
case_images: f2
case_images: The decision was made to convert to an exploratory laparotomy, which revealed herniation of ileum, cecum, appendix, and ascending colon through the FoW causing a closed-loop obstruction (Fig. 2).
case_images: Delivering the ileum, appendix and cecum through the FoW.
case_images: rjae839f3.jpg
case_images: PMC11717120_01_rjae839f3.jpg
case_images: f3
case_images: With gentle manipulation, the colon was reduced, colotomy was closed, and then the FoW was closed with 3'0' silk in an interrupted fashion (Fig. 3 and 4).
case_images: Reducing the ileum and colon through FoW.
case_images: rjae839f4.jpg
case_images: PMC11717120_01_rjae839f4.jpg
case_images: f4
case_images: With gentle manipulation, the colon was reduced, colotomy was closed, and then the FoW was closed with 3'0' silk in an interrupted fashion (Fig. 3 and 4).