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- Evidence of Roux-en-Y gastric bypass with distal jejunojejunostomy anastomosis, with the length of bypassed jejunal loops being longer than usual.
- Moderate to severe dilatation of gastric remnant and biliopancreatic (afferent) limb up to its distal part.
- An incarcerated jejunal loop (proximal to jejunojejunostomy anastomosis) through a left paramedian anterior abdominal defect (trocar site), with slight wall thickening and peripheral fat stranding of the incarcerated bowel loop.
- Collapsed loops of the biliopancreatic limb distal to the herniation site.
- Patent ante-colic Roux limb with oral contrast in small bowel loops and colon.
- Mild intra-abdominal fluid (Interloop).
Findings are consistent with biliopancreatic (afferent) limb obstruction secondary to an incarcerated incisional (trocar site) hernia.