Analysis of key images.
- This is a key point in the imaging; the transverse colon is seen to project posteriorly and is strictured at the point marked.
- This image is taken further downstream and illustrates the strictured transverse colon.
- This image is taken further downstream and illustrates the strictured transverse colon. The transverse colon at this point is completely collapsed, anteriorly there is a mesenteric artery branch, which is seen to swirl as it is drawn in to opening of the internal mesenteric hernia.
- This image reveals the transition point of the transverse colon.
From the collapsed portion (red arrow) to the normally distend downstream segment (purple arrow), as the transverse colon exits the internal hernia's opening.
- This image shows the small bowel (blue arrow) situated lateral to the caecum (purple arrow) . This is abnormal and suggests an internal hernia.
- This image shows the small bowel (blue arrow) situated lateral to the caecum (purple arrow) demonstrated more superiorly in the abdomen.
- The image reveals the collapsed fundus of the stomach (purple arrow), to be situated posterior to the small bowel (blue arrow). This is abnormal and suggests an internal hernia.
- This triangular configuration of the small bowel represents where the jejunum is bowel is drawn into the internal hernia.
- The strictured segment of transverse colon seen in a single coronal slice. This is the point where the caecum, small and large bowel pass through the internal hernial orifice.
- Coronal imaging depicting the abnormal positioning of the small and large bowel in the right iliac fossa. Which raises the possibility of a small bowel internal hernia.
- This is the suspected opening orifice for the small bowel internal hernia.