Strangulated Small Bowel Within an Omental Hernia

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Presentation transcript:

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