CT abdomen and pelvis portal phase
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There is a transmesenteric internal hernia.
The ascending colon and caecum have herniated through a transmesenteric defect into the left iliac fossa.
The hernial orifice is situated immediately anterior to the aortic bifurcation.
The caecum is displacing the fourth part of the duodenum superiorly.
The small bowel is situated anterior to the caecum, in the left iliac fossa.
There is no fluid within the hernial sac to suggest incarceration or strangulation and there is no small or large bowel dilatation.
The SMV is enhancing normally.