CT - Intestinal obstruction
Dilated jejunal loops. The dilated loops and superior mesenteric vessels are seen crowded in the left side of the abdomen, inferior to the pancreatic tail. The 3rd and 4th parts of the duodenum are seen in abnormal course. The inferior mesenteric vein is seen draining into the superior mesenteric vein. The dilated small bowel loops are seen posterior to the IMV. The SMA and SMV are patent and well opacified. Dilated loops are well enhancing , suggesting no strangulation. No evidence of perforation or portal venous gas. Mild mesenteric edema is noted. Features are those of small bowel obstruction. The relation of the bowel loops to the IMV suggests left paraduodenal hernia.