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Case of the Week 2 2019

*72-year-old male with abdominal pain and vomiting.

What is the most likely diagnosis?

Answer

Answer: Small bowel mesentery internal hernia

Case Discussion:

CT images revealed the dilated loops, mesenteric edema, and beak-like point of obstruction

There are two types transmesenteric and intramesenteric small bowel internal hernia.

References:
1.Hong SS, Kim AY, Kim PN et-al. Current diagnostic role of CT in evaluating internal hernia. J Comput Assist Tomogr. 2005;29 (5): 604-9.