Presentation
Abdominal pain and vomiting
Patient Data
Age: 85 years
Gender: Female
Case Discussion
Herniation of a large collection of small bowel loops (ileum) through a cecal mesenteric defect, behind and lateral to the cecum, and into the right paracolic gutter.
The herniated bowel is swollen and the mesentery is edematous with free intraperitoneal fluid = ischemic (at least venous).
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