Strangulated Small Bowel Within an Omental Hernia Tasha Ellchuk, MD, Sheldon Wiebe, MD, FRCP(C) Canadian Association of Radiologists Journal Volume 60, Issue 2, Pages 103-104 (April 2009) DOI: 10.1016/j.carj.2009.02.018 Copyright © 2009 Canadian Association of Radiologists Terms and Conditions
Figure 1 Enhanced axial image reveals the superior mesenteric vein (SMV) left of the superior mesenteric artery (SMA), consistent with nonrotation. Canadian Association of Radiologists Journal 2009 60, 103-104DOI: (10.1016/j.carj.2009.02.018) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions
Figure 2 Enhanced axial image reveals a dilated loop of small bowel, which enhances slightly less than the surrounding normal small bowel, and appears to fold on itself. Canadian Association of Radiologists Journal 2009 60, 103-104DOI: (10.1016/j.carj.2009.02.018) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions
Figure 3 Enhanced axial image shows stretching and clustering of mesenteric vessels at the internal hernia orifice. Canadian Association of Radiologists Journal 2009 60, 103-104DOI: (10.1016/j.carj.2009.02.018) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions
Figure 4 Sequential enhanced axial images reveal a beak-like tapering, representing small bowel herniating through the omental defect. Canadian Association of Radiologists Journal 2009 60, 103-104DOI: (10.1016/j.carj.2009.02.018) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions
Figure 5 Enhanced axial image reveals normally enhancing, collapsed distal small bowel. Canadian Association of Radiologists Journal 2009 60, 103-104DOI: (10.1016/j.carj.2009.02.018) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions