Closed loop obstruction

Case contributed by Omar Bashir
Diagnosis almost certain

Presentation

Short history of abdominal pain, vomiting and constipation.

Patient Data

Age: 60 years
Gender: Male
ct

Coronal and axial images demonstrate small bowel dilatation consistent with obstruction. The small bowel loops are arranged in a characteristic radial fashion in the lower abdomen and there are two separate points of obstruction. Small amount of ascites is also noted. There is an incidental horseshoe kidney.

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