EURORAD ESR

Case 13986

Intermesenteric internal hernia after Roux-en-Y gastric bypass

Author(s)
Teiga, Eduardo; Radosevic, Aleksandar; Busto, Marcos; Bazán, Fernando

Hospital Universitario del Mar;
Passeig Maritim
08005 Barcelona, Spain;
Email:eduardo_teiga@hotmail.com
 
Patient
male, 55 year(s)
 
 
  • Figure 1
    X-ray

    Hydro-air levels

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Surgery; Special Focus: Hernia;
     
     
  • Figure 2
    CT scan - Axial
     

    CT examination showed mesenterial root haziness and congestion (orange arrowhead) with clustered small bowel loops (red arrows) noted tightly contiguous to the distorted mesenterial fat in the left hypochondrium region.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;

    Whirl Sign (red arrow): swirling appearance of the mesenteric vessels. Note also the anastomosis point (green arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;
     
     
  • Figure 3
    CT scan - Sagittal
     

    Aferent bowel loops (orange arrow) and eferent bowel loops (green arrow)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;

    There is a ‘‘mushroom’’ appearance as the bowel loops course through a relatively narrow opening and then expand.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;
     
     
Hydro-air levels
 
CT examination showed mesenterial root haziness and congestion (orange arrowhead) with clustered small bowel loops (red arrows) noted tightly contiguous to the distorted mesenterial fat in the left hypochondrium region.
 
Whirl Sign (red arrow): swirling appearance of the mesenteric vessels. Note also the anastomosis point (green arrow).
 
Aferent bowel loops (orange arrow) and eferent bowel loops (green arrow)
 
There is a ‘‘mushroom’’ appearance as the bowel loops course through a relatively narrow opening and then expand.
 
 
 
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