Closed loop obstruction due to transmesenteric hernia

Discussion:

Stomach contents in the NGT.
Right after the reading radiologist reported the salient findings, the patient was rushed to the OR.
60 cm of gangrenous small bowel were resected and a side-to-side anastomosis was performed. The mesenteric aperture was closed and the abdominal space was irrigated with saline. The omentum was released from the umbilical hernia sac and the redundant sac was removed.

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