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https://doi.org/10.1136/gut.2008.171660a

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    From the question on page 812

    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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