case_images: PMC8112357_01
case_images: Retroperitoneal pouch through which the small intestines were lodged. Notice the blood vessels at the edges of the defect
case_images: NJS-27-78-g001.jpg
case_images: PMC8112357_01_NJS-27-78-g001.jpg
case_images: F1
case_images: The pouch had a 5-7 cm defect to the left of the duodenum along an avascular plane with vessels superior and inferior [Figure 1].
case_images: Dilated loops of dusky-red small intestines with petechiae reaction reduced from the pouch and freed from the torsion. The normal pink color returned in <5 min after reduction
case_images: NJS-27-78-g002.jpg
case_images: PMC8112357_01_NJS-27-78-g002.jpg
case_images: F2
case_images: The dilated small intestinal loops (volvulus) were untorted, while the loops of intestines trapped in the peritoneal sac were reduced, appearing dusky red [Figure 2] but viable.
case_images: Closure of the defect with interrupted silk sutures
case_images: NJS-27-78-g003.jpg
case_images: PMC8112357_01_NJS-27-78-g003.jpg
case_images: F3
case_images: The defect in the mesocolon was closed with silk sutures [Figure 3], ensuring that the vessels at its margins were not injured.