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From the question on page 575
The CT scan (fig 1A,B in Questions section) revealed multiple adherent small bowel loops encased within a thickened enhancing peritoneal membrane (arrow) forming a sac-like structure, with localised fluid collection seen within this sac, features suggestive of an abdominal cocoon. The second and third parts of the duodenum were dilated (arrow) as far as and …