case_images: PMC6462366_01
case_images: PMC6462366_02
case_images: erect radiograph of the abdomen showing dilated small bowel loops with some air-fluid levels
case_images: PAMJ-31-120-g001.jpg
case_images: PMC6462366_02_PAMJ-31-120-g001.jpg
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case_images: Plain abdominal X-ray in an erect position showed air-fluid levels of the small bowel loops in the upper abdomen (Figure 1).
case_images: axial enhanced abdominal CT scan shows a cluster of jejunal loops in the Landzert's fossa
case_images: PAMJ-31-120-g002.jpg
case_images: PMC6462366_02_PAMJ-31-120-g002.jpg
case_images: f0002
case_images: Abdominal CT scan was interpreted as an ileal obstruction associated with retractile mesenteritis around a hypervascularized pseudomass (Figure 2).
case_images: intra-operative view of the hernia sac. This image shows the Landzert's fossa (empty), bounded by the first jejunal loop up and the neck of the sac around
case_images: PAMJ-31-120-g003.jpg
case_images: PMC6462366_02_PAMJ-31-120-g003.jpg
case_images: f0003
case_images: Therefore, we decided to perform an emergency laparotomy which revealed that the proximal jejunum was prolapsed within a sac-like structure projected to the left of the midline (Figure 3).
case_images: the hernia sac removed
case_images: PAMJ-31-120-g004.jpg
case_images: PMC6462366_02_PAMJ-31-120-g004.jpg
case_images: f0004
case_images: The peritoneal sac was resected (Figure 4).