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The multislice CT scan showed a transition zone with dilated bowel loops proximally and collapsed loops proximally, associated with small perihepatic and perisplenic free fluid (fig 1).

Figure 1

Abdominal CT scan showing small bowel obstruction with multiple air-fluid levels, dilated bowel loops and a transition zone in the right iliac fossa. Red arrows indicate the evident transition zone.

The CT findings were interpreted by the radiologist as complete small bowel obstruction due to a possible ileal volvulus or internal hernia. The CT did not show bowel wall thickening. The patient was taken to the …

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